Organization
NEW JERSEY CVS PHARMACY LLC
Active
Other names
CVS PHARMACY 02511
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
557 S ATLANTIC AVE, MATAWAN, NJ 07747-2262
(732) 765-4601
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
RS005802
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3141645
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/29/2006
Last updated
03/06/2012
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