# CVS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS PHARMACY \# 10148
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548691751
- **Authorized official:** SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
- **Authorized official phone:** (401) 770-2751

## Contact information

- **Practice address:** 715 W BENDER BLVD, HOBBS, NM 88240-2287
- **Practice address phone:** (575) 397-4855
- **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 | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/13/2013
- **Last updated:** 01/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3212595 | NCPDP | — |
| 01 | — | 44921586 | NM MEDICAID - DME | NM |
| 05 | — | 95505270 | — | NM |