# TENNESSEE CVS PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS PHARMACY \#05601
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427151133
- **Authorized official:** SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
- **Authorized official phone:** (401) 770-2751

## Contact information

- **Practice address:** 570 HIGHWAY 321 N, LENOIR CITY, TN 37771-6545
- **Practice address phone:** (426) 986-6563
- **Mailing address:** 1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
- **Mailing address phone:** (401) 765-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 333600000X | Pharmacy | 00000332 | TN | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 12/20/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4417475 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
