Provider Type Icon

WOODWARD DETROIT CVS L.L.C. NPI 1346349644


NPI Information

NPI: 1346349644
Provider Name: WOODWARD DETROIT CVS, L.L.C.

Doing Business As: CVS PHARMACY #08301

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 23D2279438

Address:
940 LAPEER AVE
PORT HURON, MI
ZIP 48060
Phone: (810) 982-4732
Get Directions

WOODWARD DETROIT CVS, L.L.C. is a pharmacy in Port Huron, MI. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. WOODWARD DETROIT CVS, L.L.C. NPI is 1346349644. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #08301.

The provider's business location address is:

940 LAPEER AVE
PORT HURON, MI
ZIP 48060-414
Phone: (810) 982-4732

The provider's authorized official is Susan Colbert .
The authorized official title is Director and has the following contact phone number (401) 765-1500.

The CLIA number assigned to this NPI record is 23D2279438 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 10/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacy5301-007588MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MI3835MEDICARE PIN
25603870145MEDICARE NSC
3P00959529MEDICARE PINMICHIGAN
42364052OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.