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Organization

NEW JERSEY CVS PHARMACY LLC

Active
Other names
CVS Pharmacy # 01782
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (DIRECTOR MANAGED CARE CONTRACT ADM)
(401) 770-2751
Entity
Organization

Contact information

Practice address
2 DON CONNOR BLVD, JACKSON, NJ 08527
(732) 928-1264
Mailing address
1 CVS DR, 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
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0239585
NJ
01
3196741
NCPDP
Enumeration date
02/19/2010
Last updated
03/06/2012
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