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Organization
RHODE ISLAND CVS PHARMACY LLC
Active
Organization
RHODE ISLAND CVS PHARMACY LLC
Active
Other names
CVS pharmacy at Thundermist #02474
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 CLINTON ST, WOONSOCKET, RI 02895
(401) 235-6855
Mailing address
ONE CVS DRIVE, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895
(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
3336S0011X
Specialty Pharmacy
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4106933
NCPDP
RI
05
—
PP66708
—
RI
Enumeration date
04/03/2007
Last updated
02/29/2012
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