Organization
PENNSYLVANIA CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY #00053
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIR PHCY ENROLLMENTS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
58 WELWOOD AVE, HAWLEY, PA 18428-1524
(570) 226-6550
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PP-414875-L
PA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
09/20/2006
Last updated
12/05/2024
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