Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY # 02206
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
366 WASHINGTON ST, SOUTH ATTLEBORO, MA 02703-5917
(508) 761-7392
Mailing address
1 CVS DR, PO 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
2762
MA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2236758
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
CV84291
RI MEDICAID
RI
Enumeration date
09/22/2006
Last updated
03/13/2012
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