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Provider Information for 1841234689


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LCPS ACQUISITION, LLC

Other Names:  
Doing Business As: 
OMNICARE OF PRESCOTT #48206

Organization Subpart: NO

NPI: 1841234689
Last Updated: 2024-02-29
Certification Date:

Details

NameValue
NPI1841234689
Enumeration Date2006-06-15
NPI TypeNPI-2 Organization
StatusActive
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:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 3336L0003X - Pharmacy - Long Term Care Pharmacy