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Organization

NEW JERSEY CVS PHARMACY LLC

Active
Other names
CVS PHARMACY #02079
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization

Contact information

Practice address
508HIGH ST, MOUNT HOLLY, NJ 08060
(609) 261-8963
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
RS005420
NJ
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3138674
OTHER ID NUMBER-COMMERCIAL NUMBER
05
7157100
NJ
Enumeration date
09/29/2006
Last updated
06/25/2014
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