Organization
ALABAMA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #04842
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
410 BATTLE ST E, TALLADEGA, AL 35160-2498
(205) 362-0163
(256) 362-5862
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
110829
AL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0115938
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
1215030937
DME
AL
05
—
1215030937
—
AL
01
—
P00754161
MEDICARE RR
—
Enumeration date
09/07/2006
Last updated
02/27/2024
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