Organization
NEBRASKA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #16146
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
4001 N 132ND ST, OMAHA, NE 68164-1839
(402) 431-9161
(402) 972-4508
Mailing address
1 CVS DR, 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
—
—
3336C0003X
Community/Retail Pharmacy
3067
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2055264
PK
—
Enumeration date
07/24/2006
Last updated
11/08/2016
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