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Organization
CVS PHARMACY, INC.
Active
Organization
CVS PHARMACY, INC.
Active
Other names
CVS Pharmacy #05857
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MANAGER, PHARMACY ENROLLMENTS)
(401) 770-2937
Entity
Organization
Contact information
Practice address
7603 CULEBRA RD, SAN ANTONIO, TX 78251-1437
(210) 680-0299
Mailing address
1 CVS DR, BOX 1075 PHARMACY ENROLLMENTS, 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
26291
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205635001
DME
TX
01
—
4550566
NCPDP
—
05
—
466570
—
TX
Enumeration date
12/03/2008
Last updated
02/19/2015
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