Organization
CARECENTER PHARMACY LLC
Active
Other names
CAREPLUS CVS/PHARMACY #03108
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
W165N 5595 CREEKWOOD CROSSING, MENOMONEE FALLS, WI 53051-5655
(262) 703-3386
Mailing address
1 CVS DR, BOX 1075-PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407007669
—
WI
01
—
5131228
NCPDP
—
Enumeration date
10/07/2008
Last updated
10/24/2014
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