Organization
CVS PHARMACY, INC.
Active
Other names
CVS Pharmacy # 08440
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
4205 NORTH JOSEY LN, CARROLLTON, TX 75010-4601
(972) 492-1706
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
333600000X
Pharmacy
Primary
—
TX
3336C0003X
Community/Retail Pharmacy
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211695601
DME
TX
01
—
4554982
NCPDP
TX
05
—
466667
—
TX
Enumeration date
02/05/2010
Last updated
10/06/2011
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