Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY #01254
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
984 WORCESTER ST., WELLESLEY, MA 02482-3709
(781) 235-3555
Mailing address
ONE CVS DR, BOX 1075, 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
—
110099829A
—
MA
01
—
2244616
NCPDP
—
Enumeration date
03/25/2014
Last updated
09/05/2014
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