Organization
CVS MANCHESTER NH LLC
Active
Other names
CVS Pharmacy # 05862
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
5 HAMPSTEAD RD, SALEM, NH 03079-2404
(603) 870-9023
Mailing address
1 CVS DR, BOX 1075 - PHARMACY ENROLLMENTS REP, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
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
—
110081211F
—
MA
01
—
3061607
NCPDP
NH
05
—
3091458
—
NH
Enumeration date
09/05/2013
Last updated
02/17/2014
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