Organization
NEW JERSEY CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #17331
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
4196 US HIGHWAY 1, MONMOUTH JUNCTION, NJ 08852-1904
(732) 329-5221
(732) 329-5231
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
28RS00671400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158984
—
NJ
01
—
2056144
PK
—
Enumeration date
05/17/2007
Last updated
09/26/2016
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