Organization
ARIZONA CVS STORES LLC
Active
Other names
CVS PHARMACY #08802
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR PHARMACY ENROLLMENTS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
131 W RIVERSIDE DR, PARKER, AZ 85344-5221
(928) 669-6168
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
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0353778
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
1053355305
—
CA
Enumeration date
06/16/2006
Last updated
06/18/2014
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