Provider Information for 1841234689
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LCPS ACQUISITION, LLC
Other Names:Doing Business As:OMNICARE OF PRESCOTT #48206Organization Subpart: NO
NPI: 1841234689
Last Updated: 2024-02-29
Certification Date:
Certification Date:
Details
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NPI | 1841234689 | ||||||||
Enumeration Date | 2006-06-15 | ||||||||
NPI Type | NPI-2 Organization | ||||||||
Status | Active | ||||||||
Authorized Official Information | Name: SUSAN COLBERT Title: Sr Director, Payer Relations Phone: 4017702751 | ||||||||
Mailing Address | 1 CVS DR BOX 1075 WOONSOCKET, RI 02895-6146 United States Phone: 401-765-1500 | Fax: | ||||||||
Primary Practice Address | 930 12TH PL PRESCOTT, AZ 86305-1436 United States Phone: 928-776-9939 | Fax: | ||||||||
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