Organization
PENNSYLVANIA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy # 01545
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1500 SPRUCE STREET, PHILADELPHIA, PA 19102
(215) 790-3290
Mailing address
1 CVS DRIVE, PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP481653
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3987217
COMMERCIAL NUMBER
—
Enumeration date
11/20/2006
Last updated
09/11/2014
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