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Organization
CVS PHARMACY, INC.
Active
Organization
CVS PHARMACY, INC.
Active
Other names
CVS Pharmacy #03234
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MANAGER, PHARMACY ENROLLMENTS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
13802 HIGHWAY 6, SANTA FE, TX 77517-3416
(409) 925-0164
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4548206
NCPDP #
—
05
—
466494
—
TX
01
—
P00754740
MEDICARE RR
—
Enumeration date
04/25/2008
Last updated
02/17/2015
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