Organization
PENNSYLVANIA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #11421
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1216 WEST 6TH ST, ERIE, PA 16507-1022
(814) 844-6265
(814) 459-0237
Mailing address
1 CVS DRIVE, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(814) 459-0237
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP410816L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100750747
—
PA
Enumeration date
12/22/2005
Last updated
02/03/2020
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