# OHIO CVS STORES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS PHARMACY \#03447
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215030663
- **Authorized official:** SUSAN COLBERT (DIRECTOR)
- **Authorized official phone:** (401) 765-1500

## Contact information

- **Practice address:** 4901 N MAIN ST, DAYTON, OH 45415-3634
- **Practice address phone:** (937) 278-5871
- **Practice address fax:** (937) 278-3494
- **Mailing address:** 1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | 21-02700 | OH | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 07/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3604205 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |