Organization
CVS PHARMACY INC.
Active
Other names
CVS Pharmacy #17295
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
551 S HOVER ST, LONGMONT, CO 80501-7920
(720) 864-4394
(720) 864-4394
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
PDO.0000000662
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003877
PK
—
Enumeration date
10/19/2006
Last updated
10/05/2016
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