Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY #09627
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
22050 VENTURA BLVD, WOODLAND HILLS, CA 91364-1645
(818) 346-2207
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
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5619943
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00962113
MEDICARE - RR PIN
—
Enumeration date
06/20/2006
Last updated
03/09/2012
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