Organization
PENNSYLVANIA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #17163
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2701 CASTOR AVE, PHILADELPHIA, PA 19134-5505
(215) 305-9051
(215) 305-9051
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
PP481498
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2087374
PK
—
Enumeration date
07/24/2006
Last updated
12/15/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us