Organization
OKLAHOMA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY # 02512
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
17850 N PENNSYLVANIA AVE, EDMOND, OK 73012-9097
(405) 341-1142
Mailing address
ONE CVS DRIVE, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
OK
333600000X
Pharmacy
Primary
—
OK
3336C0003X
Community/Retail Pharmacy
—
OK
Other
Enumeration date
04/23/2014
Last updated
10/24/2023
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