# OHIO CVS STORES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS PHARMACY 04483
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801990627
- **Authorized official:** SUSAN COLBERTS (DIRECTOR)
- **Authorized official phone:** (401) 765-1500

## Contact information

- **Practice address:** 4777 SAWMILL RD, COLUMBUS, OH 43220-6160
- **Practice address phone:** (614) 459-7641
- **Mailing address:** 1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | 02-1122200 | OH | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 08/26/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3666368 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |