Organization
GEORGIA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY # 10357
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1544 BASS RD, MACON, GA 31210-7510
(478) 471-4497
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
GA
333600000X
Pharmacy
Primary
—
GA
3336C0003X
Community/Retail Pharmacy
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003140568A
—
GA
01
—
1164021
NCPDP
GA
Enumeration date
09/12/2013
Last updated
02/17/2014
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