Organization
DELAWARE CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 10375
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR-PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
674 MIDDLETOWN ODESSA RD, MIDDLETOWN, DE 19709
(302) 378-2287
(302) 378-4415
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
—
DE
333600000X
Pharmacy
Primary
—
DE
3336C0003X
Community/Retail Pharmacy
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0845555
NCPDP
DE
01
—
1316348014
DME
DE
05
—
1316348014
—
DE
Enumeration date
09/12/2014
Last updated
06/16/2015
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