# OHIO CVS STORES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS PHARMACY 04400
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720181555
- **Authorized official:** SUSAN COLBERT (DIRECTOR)
- **Authorized official phone:** (401) 765-1500

## Contact information

- **Practice address:** 3066 STATE ROUTE 160, GALLIPOLIS, OH 45631-8409
- **Practice address phone:** (740) 446-7459
- **Mailing address:** 1 CVS DR, 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 | — | NULL | — |
| 333600000X | Pharmacy | 2826950 | OH | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 01/19/2023