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Organization

WOODWARD DETROIT CVS, L.L.C.

Active
Other names
CVS Pharmacy #11245
Organization subpart
No

Provider details

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

Contact information

Practice address
8900 MACOMB ST, GROSSE ILE, MI 48138-1577
(734) 676-6000
(734) 676-7076
Mailing address
1 CVS DRIVE, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301006103
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2353441
OTHER ID NUMBER
05
2353441
MI
Enumeration date
08/27/2006
Last updated
02/27/2018
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