Organization
CVS MANCHESTER NH LLC
Active
Other names
CVS Pharmacy # 10463
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR,PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
50 STERLING WAY, DOVER, NH 03820-4028
(603) 742-3995
Mailing address
1 CVS DR, BOX 1075 - PHARMACY ENROLLMENT, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
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
—
3061594
NCPDP
NH
05
—
3091330
—
NH
Enumeration date
07/23/2013
Last updated
09/01/2021
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