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Organization

CVS MANCHESTER NH, L.L.C

Active
Other names
CVS PHARMACY #01004
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization

Contact information

Practice address
512 S BROADWAY, SALEM, NH 03079-4306
(603) 898-5983
Mailing address
1 CVS DR, PO BOX 1075, 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
0134 P
NH
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0423921
MA
01
3004075
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
10/23/2006
Last updated
03/18/2022
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