Organization
OHIO CVS STORES LLC
Active
Other names
CVS PHARMACY #06349
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1109 IRONTON HILLS DR, IRONTON, OH 45638-9612
(614) 533-0747
Mailing address
1 CVS DR, PO BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
2597750
OH
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0751048
—
OH
01
—
3652585
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
710003992000
—
KY
Enumeration date
09/07/2006
Last updated
11/29/2012
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