Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS Pharmacy #17395
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
11133 BALBOA BLVD, GRANADA HILLS, CA 91344-4204
(818) 282-9094
(818) 282-9104
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
PHY54129
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134313026
—
CA
01
—
2112635
PK
—
Enumeration date
09/04/2007
Last updated
05/09/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us