Organization
WOODWARD DETROIT CVS LLC
Active
Other names
CVS PHARMACY # 10790
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
111 N MAIN ST, FRANKENMUTH, MI 48734-1109
(989) 652-8001
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154725570
—
MI
01
—
2380070
2380070
MI
Enumeration date
10/14/2014
Last updated
04/04/2016
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