Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY # 02050
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS)
(401) 765-2937
Entity
Organization
Contact information
Practice address
42150 JACKSON ST, #A, INDIO, CA 92203-9736
(760) 347-0326
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
—
CA
333600000X
Pharmacy
Primary
—
CA
3336C0003X
Community/Retail Pharmacy
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174785331
—
CA
01
—
5631040
NCPDP NUMBER - OTHER COMMERCIAL IDENTIFIER
—
Enumeration date
06/30/2008
Last updated
09/11/2009
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