Organization
ALABAMA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #04853
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR)
(401) 770-2751
Entity
Organization
Contact information
Practice address
520 HIGHLAND AVE, SELMA, AL 36701-6231
(334) 875-5530
(334) 877-4029
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 735-1080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
110840
AL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0116954
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
1053414789
DME
AL
05
—
1053414789
—
AL
01
—
P00754161
MEDICARE RR
—
Enumeration date
09/07/2006
Last updated
02/27/2024
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