Organization
PENNSYLVANIA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY #17879
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1745 QUENTIN RD, LEBANON, PA 17042-7435
(401) 765-1500
(401) 735-1080
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
08/10/2022
Last updated
02/28/2023
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