Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY #06738
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1710 N RICHMOND RD, WHARTON, TX 77488-2713
(979) 532-8660
(979) 532-8496
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
—
TX
333600000X
Pharmacy
Primary
24568
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169813604
DME
TX
01
—
4536530
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
460777
—
TX
Enumeration date
09/12/2006
Last updated
02/25/2015
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