Organization
OHIO CVS STORES LLC
Active
Other names
CVS Pharmacy# 10248
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
212 E WOOSTER ST, BOWLING GREEN, OH 43402-2921
(419) 352-3119
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092618
—
OH
01
—
3681233
NCPDP
OH
Enumeration date
08/19/2013
Last updated
01/17/2014
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