Organization
CVS PHARMACY INC
Active
Other names
CVS Pharmacy #17318
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(800) 746-7287
Entity
Organization
Contact information
Practice address
5270 S STATE HIGHWAY 360, GRAND PRAIRIE, TX 75052-8307
(469) 348-2101
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
—
—
3336C0003X
Community/Retail Pharmacy
30511
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2099924
PK
—
Enumeration date
01/11/2007
Last updated
06/12/2024
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