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Organization

NEW JERSEY CVS PHARMACY, L.L.C.

Active
Other names
CVS PHARMACY # 10608
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR- PAYER RELATIONS)
(401) 765-1500
Entity
Organization

Contact information

Practice address
1357 LAKEWOOD RD, TOMS RIVER, NJ 08755-4021
(732) 244-2376
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
NJ
333600000X
Pharmacy
Primary
NJ
3336C0003X
Community/Retail Pharmacy
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0543314
NJ
01
3151759
NCPDP
NJ
Enumeration date
05/04/2016
Last updated
01/24/2017
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