Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY# 01299
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
25 WASHINGTON ST STE 1, WELLESLEY, MA 02481-1720
(781) 263-7234
Mailing address
1 CVS DR, BOX 1075-PHARMACY ENROLLMENTS, 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
—
110091931A
—
MA
01
—
2243727
NCPDP
—
Enumeration date
02/06/2012
Last updated
09/13/2021
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