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Organization
CVS PHARMACY INC.
Active
Organization
CVS PHARMACY INC.
Active
Other names
CVS PHARMACY # 08915
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
9640 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-2217
(505) 294-4167
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21173265
—
NM
01
—
3211858
NCPDP - OTHER COMMERCIAL IDENTIFIER
—
Enumeration date
07/21/2009
Last updated
08/25/2010
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