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Organization
CVS PHARMACY INC
Active
Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY 11091
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (PHARMACY ENROLLMENTS COORDINATOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
111 FM 407 W, ARGYLE, TX 76226-5808
(940) 240-0838
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
05
—
471166
—
TX
01
—
5920687
NCDPD
TX
01
—
PH0708
MASS IMM
TX
Enumeration date
02/06/2017
Last updated
07/10/2017
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