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Organization

GARFIELD BEACH CVS LLC

Active
Other names
CVS PHARMACY #09786
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization

Contact information

Practice address
6588 FOOTHILL BLVD, TUJUNGA, CA 91042-2705
(818) 446-0647
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500

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
1164467965
CA
01
5621544
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
06/17/2006
Last updated
10/25/2011
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