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Organization
GEORGIA CVS PHARMACY, L.L.C.
Active
Organization
GEORGIA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #03882
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
450 PEACHTREE PKWY, CUMMING, GA 30041-6818
(770) 889-1301
Mailing address
1 CVS DR, BOX 1075 -PHARMACY ENROLLMENTS, 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
01
—
1157571
NCPDP
GA
05
—
740842650A
—
GA
Enumeration date
07/23/2008
Last updated
06/04/2014
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