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Organization

CVS PHARMACY INC

Active
Other names
CVS PHARMACY #07664
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization

Contact information

Practice address
1235 S BUCKNER BLVD, DALLAS, TX 75217-4306
(214) 391-2151
(214) 391-0984
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
24683
TX
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000463115
TX
01
4580913
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
09/12/2006
Last updated
03/25/2015
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