Organization
WASHINGTON CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy # 10285
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
10712 SE CARR ROAD, RENTON, WA 98055-5826
(425) 277-1040
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
—
WA
333600000X
Pharmacy
Primary
—
WA
3336C0003X
Community/Retail Pharmacy
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2042452
—
WA
01
—
4936223
NCPDP
WA
Enumeration date
06/04/2014
Last updated
07/07/2015
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