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Organization
RHODE ISLAND CVS PHARMACY, L.L.C.
Active
Organization
RHODE ISLAND CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy # 02049
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
39 PROVIDENCE PL, PROV. PLACE MALL #1010., PROVIDENCE, RI 02903-1747
(401) 270-4440
Mailing address
ONE CVS DRIVE, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
RI
333600000X
Pharmacy
Primary
—
RI
3336C0003X
Community/Retail Pharmacy
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3910052
DME
RI
01
—
4107163
NCPDP
IL
05
—
RI 75966
—
RI
Enumeration date
03/07/2009
Last updated
04/29/2013
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