# OHIO CVS STORES, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS Pharmacy \#11396
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316952955
- **Authorized official:** SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
- **Authorized official phone:** (401) 770-2751

## Contact information

- **Practice address:** 119 N MARKET ST, SHREVE, OH 44676-0582
- **Practice address phone:** (330) 567-2823
- **Practice address fax:** (330) 567-2660
- **Mailing address:** 1 CVS DRIVE, BOX 1075, WOONSOCKET, RI 02895-6146
- **Mailing address phone:** (401) 765-1500
- **Mailing address fax:** (330) 567-2660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 02-2346850 | OH | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 03/25/2019