Organization
NEW JERSEY CVS PHARMACY LLC
Active
Other names
CVS PHARMACY# 06544
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
2920 ROUTE 73 N, STORE#1, MAPLE SHADE, NJ 08052-2058
(856) 667-2811
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0309761
—
NJ
01
—
3198644
NCPDP
—
Enumeration date
04/11/2012
Last updated
02/01/2013
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