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WOODWARD DETROIT CVS LLC NPI 1568711273


NPI Information

NPI: 1568711273
Provider Name: WOODWARD DETROIT CVS, LLC

Doing Business As: CVS PHARMACY # 10098

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 23D2255752

Address:
1306 S. MISSION ST.
MOUNT PLEASANT, MI
ZIP 48858
Phone: (989) 772-1945
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WOODWARD DETROIT CVS, LLC is a community/retail pharmacy pharmacy in Mount Pleasant, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. WOODWARD DETROIT CVS, LLC NPI is 1568711273. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 10098.

The provider's business location address is:

1306 S. MISSION ST.
MOUNT PLEASANT, MI
ZIP 48858-689
Phone: (989) 772-1945

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

The CLIA number assigned to this NPI record is 23D2255752 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2012 and was last updated on 9/17/2013.


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
1333600000XPharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336C0003XPharmacyCommunity/Retail PharmacyYes

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
11568711273MEDICAIDMICHIGAN
2168230MEDICARE PINPENNSYLVANIA
3MI3835MEDICARE PINMICHIGAN
42377148OTHERMICHIGANNCPDP
55603870247MEDICARE NSCMICHIGAN

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

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