Organization
RHODE ISLAND CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy # 07387
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
63 NEWPORT AVE, RUMFORD, RI 02916-2020
(401) 431-0461
Mailing address
1 CVS DR, BOX 1075 - PHARMACY ENROLLMENTS, 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
05
—
110081210J
—
MA
01
—
4107315
NCPDP
RI
05
—
RI79488
—
RI
Enumeration date
02/26/2010
Last updated
10/07/2010
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