Organization
LOUISIANA CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY #08999
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
2105 CLEARY AVE, METAIRIE, LA 70001-1651
(504) 883-8186
Mailing address
1 CVS DR, BOX 1075 PHARMACY ENROLLMENT, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
6285
LA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1935165
NCPDP
—
05
—
2200241
—
LA
Enumeration date
06/29/2010
Last updated
01/22/2014
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