Organization
OKLAHOMA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #04896
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1853 S ASPEN AVE, BROKEN ARROW, OK 74012-5104
(918) 251-9615
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
—
100233690E
MEDICAID DME
OK
05
—
100233690F
—
OK
01
—
3726467
NCPDP
—
Enumeration date
01/04/2011
Last updated
05/17/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us