Organization
NEVADA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #01507
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
2935 S HOLLYWOOD BLVD, LAS VEGAS, NV 89122-3715
(702) 207-2367
Mailing address
1 CVS DR, BOX 1075 - PHARMACY ENROLLMENTS, 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
—
1205076957
—
NV
01
—
2991657
NCPDP
NV
Enumeration date
02/20/2009
Last updated
06/03/2019
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