Organization
OKLAHOMA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #10065
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
251 S HWY 97, SAND SPRINGS, OK 74063-6521
(918) 246-9570
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
OK
333600000X
Pharmacy
Primary
—
OK
3336C0003X
Community/Retail Pharmacy
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233690G
—
OK
01
—
100233690U
DME
OK
01
—
3727279
NCPDP
OK
Enumeration date
04/24/2013
Last updated
07/15/2014
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