Organization
GARFIELD BEACH CVS, L.L.C.
Active
Other names
CVS Pharmacy #08589
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
15286 SUMMIT AVE, FONTANA, CA 92336-0231
(909) 463-9255
Mailing address
ONE CVS DRIVE, WOONSOCKET, RI 02895
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PHY48523
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265577589
—
CA
01
—
5626227
NCPDP
—
Enumeration date
02/21/2007
Last updated
10/04/2010
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