Organization
DELAWARE CVS PHARMACY LLC
Active
Other names
CVS Pharmacy# 04710
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
39820 HICKMAN PLAZA RD, BETHANY BEACH, DE 19930-3760
(302) 539-3548
Mailing address
1 CVS DR, BOX 1075 -PHARMACY ENROLLMENTS, 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0845062
NCPDP
DE
01
—
1245554062
DME
DE
05
—
1245554062
—
DE
Enumeration date
03/23/2010
Last updated
03/13/2012
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