Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY #07824
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS)
(401) 770-2937
Entity
Organization
Contact information
Practice address
5702 LAVON DR, GARLAND, TX 75040-3126
(972) 495-5595
(972) 675-5806
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
24853
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4529357
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
465455
—
TX
Enumeration date
09/20/2006
Last updated
03/11/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us