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Organization
CVS ALBANY, L.L.C.
Active
Organization
CVS ALBANY, L.L.C.
Active
Other names
CVS Pharmacy # 17681
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR- PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
445 GOLD ST, BROOKLYN, NY 11201-3016
(718) 260-8227
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NY
333600000X
Pharmacy
Primary
—
NY
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04685549
—
NY
01
—
4413330569
MEDICARE NSC
—
01
—
5816763
NCPDP
NY
01
—
A000318043
MASS IMMUNIZATION
—
Enumeration date
05/31/2016
Last updated
05/19/2017
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