# DELAWARE CVS PHARMACY, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS PHARMACY \# 10238
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013399674
- **Authorized official:** SUSAN COLBERT (SR. DIRECTOR-PAYER RELATIONS)
- **Authorized official phone:** (401) 765-1500

## Contact information

- **Practice address:** 702 NAAMANS RD, CLAYMONT, DE 19703-1610
- **Practice address phone:** (302) 798-0249
- **Mailing address:** BOX 1075, ONE CVS DRIVE, WOONSOCKET, RI 02895-6146
- **Mailing address phone:** (401) 765-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | DE | — |
| 333600000X | Pharmacy | — | DE | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | DE | — |

## Other

- **Enumeration date:** 06/19/2015
- **Last updated:** 10/01/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0845719 | NCPDP | DE |
| 05 | — | 1013399674 | — | DE |