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Organization

ARKANSAS CVS PHARMACY LLC

Active
Other names
CVS PHARMACY 11093
Organization subpart
No

Provider details

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

Contact information

Practice address
101 E MAIN ST, RUSSELLVILLE, AR 72801
(479) 498-0014
Mailing address
1 CVS DRIVE, 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

Enumeration date
04/24/2018
Last updated
06/20/2018
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