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Organization
CVS PHARMACY INC
Active
Organization
CVS PHARMACY INC
Active
Other names
CVS Pharmacy #03244
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
230 N CEDAR ST, BORGER, TX 79007-4026
(806) 273-1433
Mailing address
1 CVS DR, BOX 1075, 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
—
290269401
MEDICAID DME
TX
05
—
466783
—
TX
01
—
5904532
NCPDP
—
Enumeration date
11/29/2011
Last updated
05/23/2012
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