Organization
NEW JERSEY CVS PHARMACY LLC
Active
Other names
CVS Pharmacy# 03031
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
440 UNION AVE, BRIDGEWATER, NJ 08807
(908) 707-1231
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0437417
—
NJ
01
—
3148637
NCPDP
—
Enumeration date
06/10/2014
Last updated
12/05/2014
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