Organization
WASHINGTON CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #11023
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
9400 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1512
(253) 584-1459
Mailing address
1 CVS DR # 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
WA
333600000X
Pharmacy
Primary
—
WA
3336C0003X
Community/Retail Pharmacy
—
WA
Other
Enumeration date
08/21/2018
Last updated
10/12/2018
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