Organization
DELAWARE CVS PHARMACY LLC
Active
Other names
CVS Pharmacy # 02069
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
988 FORREST STREET, DOVER, DE 19904
(302) 744-9222
Mailing address
1 CVS DR, BOX 1075-PHARMACY ENROLLMENTS, 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
—
0845098
NCPDP
—
01
—
1063726537
DME
DE
05
—
1063726537
—
DE
Enumeration date
07/27/2010
Last updated
03/02/2012
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