Organization
NEW JERSEY CVS PHARMACY LLC
Active
Other names
CVS PHARMACY #06036
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIR, MANAGED CARE ADMINISTRATION)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1618 N OLDEN AVENUE EXT, EWING, NJ 08638-3206
(609) 599-3830
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
3888
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235911
—
NJ
01
—
3100524
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/07/2006
Last updated
11/05/2010
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