Organization
RHODE ISLAND CVS PHARMACY LLC
Active
Other names
CVS Pharmacy # 02238
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
26 PUTNAM PIKE, JOHNSTON, RI 02919-2032
(401) 231-0814
Mailing address
1 CVS DR, BOX 1075 - PHARMACY ENROLLMENT, 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
01
—
4107492
NCPDP
RI
05
—
RI90365
—
RI
Enumeration date
08/08/2012
Last updated
02/05/2013
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