Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS Pharmacy #17314
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
3155 SILVER CREEK RD, SAN JOSE, CA 95121-1730
(408) 238-6070
(408) 620-3001
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
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PHY54183
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104867142
—
CA
01
—
2114973
PK
—
Enumeration date
06/09/2006
Last updated
01/25/2017
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