Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY #09496
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (MANAGER PHARMACY ENROLLMENTS)
(401) 770-2937
Entity
Organization
Contact information
Practice address
2900 N SEPULVEDA BLVD, MANHATTAN BEACH, CA 90266-2730
(310) 546-3481
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5621051
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/17/2006
Last updated
08/26/2011
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