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Organization
RHODE ISLAND CVS PHARMACY, L.L.C.
Active
Organization
RHODE ISLAND CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 00590
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1054 CASS AVE, WOONSOCKET, RI 02895-4935
(401) 767-3600
Mailing address
1 CVS DR, BOX 1075, 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
00020
RI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0423670
—
MA
01
—
3910037
DME
RI
01
—
4100359
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
RI76209
—
RI
Enumeration date
09/12/2006
Last updated
08/27/2014
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