Organization
GEORGIA CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY #10865
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
170 WEST BROAD ST, ATHENS, GA 30601-2815
(706) 546-7476
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
GA
333600000X
Pharmacy
Primary
—
GA
3336C0003X
Community/Retail Pharmacy
—
GA
Other
Enumeration date
03/10/2016
Last updated
10/28/2021
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