# OHIO CVS STORES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS PHARMACY \#07777
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972601797
- **Authorized official:** SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
- **Authorized official phone:** (401) 770-2751

## Contact information

- **Practice address:** 2812 SCIOTO TRL, PORTSMOUTH, OH 45662-2244
- **Practice address phone:** (740) 355-3568
- **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 | 02-1072150 | OH | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 01/18/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2066188 | — | OH |
| 01 | — | 3665479 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 710003989000 | — | KY |