Organization
WOODWARD DETROIT CVS LLC
Active
Other names
CVS PHARMACY #08152
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
22060 OUTER DR, DEARBORN, MI 48124-3932
(313) 274-7651
(313) 274-7807
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
5301-006425
MI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
09/05/2006
Last updated
07/24/2024
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