Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY #10633
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR-PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
3502 SE MILITARY DRIVE, SAN ANTONIO, TX 78223
(210) 359-0139
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
—
TX
333600000X
Pharmacy
Primary
—
TX
3336C0003X
Community/Retail Pharmacy
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470972
—
TX
01
—
5919090
NCPDP
—
Enumeration date
05/25/2016
Last updated
04/27/2017
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