Organization
DELAWARE CVS PHARMACY LLC
Active
Other names
CVS PHARMACY# 03038
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1605 TELEGRAPH RD, WILMINGTON, DE 19804-4113
(302) 994-2314
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0845315
NCPDP
—
01
—
1124375738
DME
DE
05
—
1124375738
—
DE
Enumeration date
08/14/2012
Last updated
05/16/2013
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