Organization
OKLAHOMA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #17612
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2030 NW 82ND ST, LAWTON, OK 73505-2355
(580) 354-7275
(580) 354-7285
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
3-7628
OK
Other
Enumeration date
04/23/2013
Last updated
01/13/2023
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