Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS Pharmacy #17354
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2700 W 120TH ST, HAWTHORNE, CA 90250-3388
(323) 492-1001
(323) 492-1011
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PHY54135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2116732
PK
—
Enumeration date
08/28/2008
Last updated
05/03/2017
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