# CVS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS Pharmacy \#17772
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396303715
- **Authorized official:** SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
- **Authorized official phone:** (401) 770-2751

## Contact information

- **Practice address:** 3300 DILLON DR, PUEBLO, CO 81008-1040
- **Practice address phone:** (719) 696-6685
- **Mailing address:** 1 CVS DR, BOX 1075, WOONSOCKET, RI 02895
- **Mailing address phone:** (401) 765-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/31/2019
- **Last updated:** 10/10/2019