Organization
UTAH CVS PHARMACY, LLC
Active
Other names
CVS PHARMACY #10556
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR-PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
667 E 9000 S, SANDY, UT 84070-2580
(801) 255-9699
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
UT
333600000X
Pharmacy
Primary
—
UT
3336C0003X
Community/Retail Pharmacy
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396129425
—
UT
01
—
4613279
NCPDP
UT
Enumeration date
07/18/2015
Last updated
01/13/2017
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