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Organization
CVS MANCHESTER NH, LLC
Active
Organization
CVS MANCHESTER NH, LLC
Active
Other names
CVS Pharmacy # 02229
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR,PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
345 HIGHLAND ST, PLYMOUTH, NH 03264-3609
(603) 536-4079
Mailing address
1 CVS DR, P.O. BOX 1075 - PHARMACY ENROLL, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
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
—
008041369
—
CT
05
—
03462411
—
NY
05
—
1020646
—
VT
05
—
110081211E
—
MA
01
—
3061431
NCPDP
NH
05
—
30709306
—
NH
Enumeration date
12/09/2011
Last updated
08/28/2012
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