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Organization

PENNSYLVANIA CVS PHARMACY LLC

Active
Other names
CVS PHARMACY #01600
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization

Contact information

Practice address
88 BROOKLYN ST, CARBONDALE, PA 18407-2206
(570) 282-1650
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
PP411981L
PA
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3900671
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
09/20/2006
Last updated
09/11/2014
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