Organization
GARFIELD BEACH CVS, L.L.C.
Active
Other names
CVS PHARMACY # 03117
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1651 BELLEVUE RD, ATWATER, CA 95301
(209) 358-3304
Mailing address
ONE CVS DRIVE, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
CA
333600000X
Pharmacy
Primary
—
CA
3336C0003X
Community/Retail Pharmacy
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154507374
—
CA
01
—
5629259
OTHER COMMERCIAL NUMBER - NCPDP
CA
Enumeration date
01/17/2008
Last updated
08/24/2011
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