Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WISCONSIN CVS PHARMACY LLC
Active
Organization
WISCONSIN CVS PHARMACY LLC
Active
Other names
Target Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
750 HILLDALE WAY, MADISON, WI 53705-2644
(608) 807-3979
(608) 807-3989
Mailing address
1 CVS DR, MAIL CODE 1090, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
9060-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538463492
—
WI
01
—
2128274
PK
—
Enumeration date
01/06/2011
Last updated
01/11/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers