Organization
OREGON CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #11659, RITE AID PHARMACY 05366
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2080 NORTHWEST 9TH STREET, CIRCLE NINE, CORVALLIS, OR 97330
(541) 753-2226
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
6805
OR
Other
Enumeration date
08/30/2006
Last updated
09/19/2025
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