# BERGEN MALL NJ CVS INC

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

## Provider details

- **NPI number:** 1306929930
- **Authorized official:** CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS)
- **Authorized official phone:** (401) 770-2937

## Contact information

- **Practice address:** 224 BERGEN MALL RTE 4 AND FOREST AVE, PARAMUS, NJ 07652
- **Practice address phone:** (201) 843-1280
- **Mailing address:** 1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | RS02597 | NJ | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 09/11/2025
