Organization
OHIO CVS STORES LLC
Active
Other names
CVS Pharmacy # 01223
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
3575 BROADWAY, GROVE CITY, OH 43123-2240
(614) 875-0261
Mailing address
ONE CVS DRIVE, BOX 1075-PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
021627350
OH
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2704023
—
OH
01
—
3674997
NCPDP-COMMERCIAL
—
Enumeration date
10/06/2006
Last updated
12/02/2010
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