Organization
RHODE ISLAND CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 00645
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
400 METACOM AVE, BRISTOL, RI 02809-5188
(401) 253-2050
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
—
RI
333600000X
Pharmacy
Primary
PHA00476
RI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0423696
—
MA
01
—
3910009
DME
RI
01
—
4103557
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
RI75372
—
RI
Enumeration date
09/12/2006
Last updated
06/20/2014
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