Organization
OHIO CVS STORES LLC
Active
Other names
CVS PHARMACY 07687
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR,PAYER RELATIONS)
(401) 770-7751
Entity
Organization
Contact information
Practice address
20641 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4835
(216) 371-1234
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
20983300
OH
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3663374
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/07/2006
Last updated
08/09/2011
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