Organization
TENNESSEE CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #02198
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (EXEC DIR, RX SERVICES)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1078 EAST 10TH STREET, COOKEVILLE, TN 38501-1908
(931) 372-7425
(931) 372-2714
Mailing address
1 CVS DR, BOX1075 PROVIDER ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
10/03/2007
Last updated
03/21/2025
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