Organization
CVS PHARMACY, INC.
Active
Other names
CVS Pharmacy #03894
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (MANAGER, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
120 E SONTERRA BLVD, SAN ANTONIO, TX 78258-6425
(210) 404-9006
(401) 770-7108
Mailing address
1 CVS DR, BOX 1075-PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
333600000X
Pharmacy
Primary
25207
TX
3336C0003X
Community/Retail Pharmacy
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4542711
COMMERCIAL NUMBER
—
05
—
466338
—
TX
Enumeration date
10/19/2006
Last updated
10/18/2010
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