Organization
PENNSYLVANIA CVS PHARMACY L L C
Active
Other names
CVS Pharmacy # 01787
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
4950 FREEMANSBURG AVE, EASTON, PA 18045-5597
(401) 765-1500
Mailing address
1 CVS DR, P O BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
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
—
1083903132
PACE
PA
01
—
3995264
NCPDP
PA
Enumeration date
03/29/2011
Last updated
11/16/2011
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