Organization
CVS PHARMACY, INC.
Active
Other names
CVS PHARMACY # 10665
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR-PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1555 EAST RENNER RD, RICHARDSON, TX 75082-3074
(972) 238-1395
Mailing address
1555 EAST RENNER RD, RICHARDSON, TX 75082-3074
(972) 238-1395
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
333600000X
Pharmacy
Primary
—
TX
3336C0003X
Community/Retail Pharmacy
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470903
—
TX
01
—
5918947
NCPDP
TX
Enumeration date
05/04/2016
Last updated
11/18/2016
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