Organization
LOUISIANA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #04761
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
3200 HIGHLAND RD, BATON ROUGE, LA 70802
(225) 388-9939
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
6281
LA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1935141
NCPDP
—
05
—
2200194
—
LA
Enumeration date
06/16/2010
Last updated
10/19/2010
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