Organization
CVS PHARMACY INC
Active
Other names
CVS Pharmacy #02328
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
3205 S ALAMEDA ST, CORPUS CHRISTI, TX 78404-2507
(361) 814-8305
Mailing address
1 CVS DR, BOX 1075, 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
01
—
297254901
MEDICAID DME
TX
05
—
466804
—
TX
01
—
5905116
NCPDP
—
Enumeration date
02/09/2012
Last updated
08/14/2012
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