Organization
NEW JERSEY CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY#06039
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIR., MANAGED CARE ADMINISTRATION)
(401) 770-2751
Entity
Organization
Contact information
Practice address
200 HIGHWAY 33, HAMILTON, NJ 08619-2542
(609) 890-7488
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
4593
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235806
—
NJ
01
—
3132747
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/07/2006
Last updated
08/02/2010
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