Organization
PENNSYLVANIA CVS PHARMACY L L C
Active
Other names
CVS Pharmacy # 07275
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
723 LOMBARD RD, RED LION, PA 17356-8226
(717) 244-4501
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
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
—
1015538870402
—
PA
01
—
1285992149
PACE
PA
01
—
3997256
NCPDP
PA
Enumeration date
04/30/2012
Last updated
10/31/2012
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