Organization
DISTRICT OF COLUMBIA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY# 01354
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2601 CONNECTICUT AVE NW, WASHINGTON, DC 20008-1522
(202) 332-1446
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
05
—
067567300
—
DC
01
—
0904816
NCPDP
—
Enumeration date
02/20/2012
Last updated
12/15/2014
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