Organization
CVS MANCHESTER NH LLC
Active
Other names
CVS Pharmacy# 05347
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1 WALL ST, CLAREMONT, NH 03743-2751
(401) 765-1500
Mailing address
1 CVS DR, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(603) 542-7742
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
—
3061392
NCPDP
NH
05
—
30709170
—
NH
Enumeration date
08/18/2011
Last updated
02/08/2012
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