Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY #08970
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
362 MAIN ST, SUITE 2, GREAT BARRINGTON, MA 01230
(413) 528-2860
Mailing address
ONE CVS DR, BOX 1075, WOONSOCKET, RI 02895
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008044719
—
CT
05
—
03123466
—
NY
05
—
0423980
—
MA
01
—
2242585
NCPDP - OTHER COMMERCIAL IDENTIFIER
—
Enumeration date
10/22/2008
Last updated
06/02/2014
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