Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY 09751
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2831
Entity
Organization
Contact information
Practice address
5623 KANAN RD, AGOURA HILLS, CA 91301-3358
(818) 991-5522
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
PHY47835
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5620869
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/17/2006
Last updated
07/22/2015
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