Organization
OHIO CVS STORES LLC
Active
Other names
CVS PHARMACY #04572
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
641 GRAHAM RD, CUYAHOGA FALLS, OH 44221-1048
(330) 922-1298
(330) 922-1441
Mailing address
1 CVS DR, BOX 1075 - PHARMACY ENROLLMENTS, 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2990983
—
OH
01
—
3678200
NCPDP #
OH
Enumeration date
06/30/2009
Last updated
10/02/2012
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