# MAIN STREET PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS Pharmacy \#48266
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326115106
- **Authorized official:** SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
- **Authorized official phone:** (401) 770-2751

## Contact information

- **Practice address:** 100 BROOKSBY VILLAGE DR, PEABODY, MA 01960-1438
- **Practice address phone:** (978) 326-2350
- **Practice address fax:** (978) 536-6937
- **Mailing address:** 1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
- **Mailing address phone:** (401) 765-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 03/07/2019