Organization
CVS PHARMACY INC
Active
Other names
CVS Pharmacy #10576
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
3802 EAST BROAD ST, MANSFIELD, TX 76063-5617
(817) 473-1373
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
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
05
—
467166
—
TX
01
—
5915814
NCPDP
—
Enumeration date
06/04/2015
Last updated
11/24/2015
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