Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY # 11152
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SENIOR DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1909 W BROADWAY ST, CLARKSVILLE, TX 75426-2010
(903) 427-2050
(903) 885-1024
Mailing address
1 CVS DR, 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
25875
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2097344
PK
—
05
—
471147
—
TX
Enumeration date
10/26/2006
Last updated
12/15/2016
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