Organization
OHIO CVS STORES LLC
Active
Other names
CVS Pharmacy #
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
9669 MENTOR AVE, MENTOR, OH 44060-4528
(440) 210-5054
(440) 210-5064
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RTPC.022572250-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2081059
PK
—
Enumeration date
08/31/2007
Last updated
08/25/2016
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