Organization
WOODWARD DETROIT CVS, L.L.C.
Active
Other names
CVS Pharmacy # 08137
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
9300 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-3434
(313) 874-5300
Mailing address
1 CVS DR, PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
5301005894
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2351550
—
MI
Enumeration date
06/30/2006
Last updated
10/05/2011
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