# OREGON CVS PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RITE AID PHARMACY 05326, CVS Pharmacy \#11694
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194834481
- **Authorized official:** SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
- **Authorized official phone:** (401) 770-2751

## Contact information

- **Practice address:** 12002 SOUTHEAST SUNNYSIDE ROAD, SUNNYSIDE MARKETPLACE, CLACKAMAS, OR 97015-8381
- **Practice address phone:** (503) 698-8446
- **Mailing address:** 1 CVS DR, WOONSOCKET, RI 02895-6146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | 6976 | OR | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 09/19/2025