Organization
NEW JERSEY CVS PHARMACY LLC
Active
Other names
CVS Pharmacy # 02949
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
451 RIDGEDALE AVE, EAST HANOVER, NJ 07936-1437
(973) 463-3301
Mailing address
1 CVS DR, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
4616190001
NJ
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
RS00614500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3144463
NCPDP
—
05
—
8929408
—
NJ
Enumeration date
01/16/2007
Last updated
11/16/2010
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