Organization
WASHINGTON CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #16130
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
5618 LAKEWOOD TOWNE CENTER BLVD SW, LAKEWOOD, WA 98499-3894
(253) 414-1232
(253) 414-1232
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PHAR.CF.60617456
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108026
PK
—
Enumeration date
07/24/2006
Last updated
11/30/2016
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