Organization
CONNECTICUT CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #11007
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
123 CHURCH ST, NEW HAVEN, CT 06510
(203) 498-9442
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
CT
333600000X
Pharmacy
Primary
—
CT
3336C0003X
Community/Retail Pharmacy
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0724383
NCPDP
CT
Enumeration date
02/17/2017
Last updated
03/27/2017
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