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Organization

OKLAHOMA CVS PHARMACY LLC

Active
Other names
CVS PHARMACY #06003
Organization subpart
No

Provider details

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

Contact information

Practice address
4026 N MACARTHUR BLVD, WARR ACRES, OK 73122-3015
(405) 789-0101
(405) 787-8090
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
OK
333600000X
Pharmacy
Primary
1-5377
OK
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3702443
OTHER ID NUMBER-COMMERCIAL NUMBER
05
90003906732
OK
Enumeration date
09/12/2006
Last updated
01/17/2023
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