# CVS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS PHARMACY \#07319
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477841575
- **Authorized official:** SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
- **Authorized official phone:** (401) 765-1500

## Contact information

- **Practice address:** 10700 UNSER BLVD NW, ALBUQUERQUE, NM 87114-1064
- **Practice address phone:** (505) 792-1992
- **Mailing address:** 1 CVS DR, BOX 1075 - PHARMACY ENROLLMENTS, 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 | — | — | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |

## Other

- **Enumeration date:** 07/11/2011
- **Last updated:** 06/04/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3212177 | NCPDP | — |
| 05 | — | 41033825 | — | NM |
| 01 | — | 90534824 | NM MEDICAID - DME | NM |