Organization
GERMAN DOBSON CVS LLC
Active
Other names
CVS PHARMACY #10307
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
6310 E BROADWAY BLVD, TUCSON, AZ 85710-3538
(520) 514-4301
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
—
0358285
NCPDP
—
05
—
872211
—
AZ
Enumeration date
08/20/2013
Last updated
01/17/2014
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