Organization
WOODWARD DETROIT CVS, L.L.C.
Active
Organization
WOODWARD DETROIT CVS, L.L.C.
Active
Other names
CVS Pharmacy #11247
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
225 E STATE ST, MONTROSE, MI 48457-9004
(810) 639-0049
(810) 639-6179
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
5301007855
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2336887
OTHER ID NUMBER
—
05
—
2336887
—
MI
Enumeration date
08/27/2006
Last updated
02/01/2021
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