Organization
CVS PHARMACY, INC.
Active
Other names
CVS Pharmacy #08912
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, MANAGED CARE ADMIN)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1002 GESSNER DR, HOUSTON, TX 77055-6010
(713) 647-0259
Mailing address
1 CVS DR, BOX 1075 PHARMACY ENROLLMENTS, 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
01
—
208583901
DME
TX
01
—
4551493
NCPDP#
—
Enumeration date
03/09/2009
Last updated
03/11/2015
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