Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY 11091
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (PHARMACY ENROLLMENTS COORDINATOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
111 FM 407 W, ARGYLE, TX 76226-5808
(940) 240-0838
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
471166
—
TX
01
—
5920687
NCDPD
TX
01
—
PH0708
MASS IMM
TX
Enumeration date
02/06/2017
Last updated
07/10/2017
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