Organization
CVS MANCHESTER NH, L.L.C.
Active
Other names
CVS PHARMACY # 00650
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1351 WHITE MOUNTAIN HWY NWAY SHOPPING PLZ, NORTH CONWAY, NH 03860
(603) 356-6916
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
0177 P
NH
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3003009
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
434079201
—
ME
Enumeration date
10/24/2006
Last updated
03/06/2012
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