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Organization

WOODWARD DETROIT CVS, L.L.C.

Active
Other names
CVS PHARMACY #08131
Organization subpart
No

Provider details

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

Contact information

Practice address
2400 FORT ST, LINCOLN PARK, MI 48146-2496
(313) 381-2400
(313) 381-1531
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
5301-005791
MI
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2350623
OTHER ID NUMBER-COMMERCIAL NUMBER
05
2892506
MI
Enumeration date
09/05/2006
Last updated
01/18/2023
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