Organization
OKLAHOMA CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 10491
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
3711 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006-2417
(918) 333-5217
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
OK
333600000X
Pharmacy
Primary
—
OK
3336C0003X
Community/Retail Pharmacy
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233690Y
—
OK
01
—
100233690Z
DME
OK
01
—
3728144
NCPDP
OK
Enumeration date
05/22/2014
Last updated
01/19/2023
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