Organization
OHIO CVS STORES, L.L.C.
Active
Other names
CVS Pharmacy #10961
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
21 GRANT ST, DENNISON, OH 44621
(740) 922-2591
(740) 922-2510
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03212813
OH
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
020814550
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000295
—
OH
Enumeration date
12/28/2006
Last updated
07/21/2022
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