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Organization

GARFIELD BEACH CVS LLC

Active
Other names
CVS Pharmacy #16507
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization

Contact information

Practice address
1415 MAIN ST, WATSONVILLE, CA 95076-3755
(831) 740-4283
(831) 274-3032
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
PHY54023
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2117127
PK
Enumeration date
09/23/2008
Last updated
11/08/2016
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