Organization
ARKANSAS CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 10408
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
2833 BELLA VISTA WAY, BELLA VISTA, AR 72714-3709
(479) 876-2153
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
—
AR
333600000X
Pharmacy
Primary
—
AR
3336C0003X
Community/Retail Pharmacy
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0424767
NCPDP
AR
05
—
205910407
—
AR
01
—
207652716
DME
AR
Enumeration date
07/09/2014
Last updated
06/11/2015
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