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Contact Information

PENNSYLVANIA CVS PHARMACY, L.L.C.
5122 MILFORD RD.
EAST STROUDSBURG, PA18302
 Phone: 401-765-1500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for PENNSYLVANIA CVS PHARMACY, L.L.C.

NPI Number 1952590481
LBN Legal business name PENNSYLVANIA CVS PHARMACY, L.L.C.
Authorized official CRISTIANA MAURICIO - (MANAGER, PHARMACY ENROLLMENTS)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2007
Last updated 09/12/2014 - About 12 years ago
Identifiers
PA Medicaid 1015538870019
Other P00754678 MEDICARE RR
PA Other 3989160 COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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