Organization
CVS PHARMACY, INC.
Active
Other names
CVS Pharmacy #00485
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MANAGER, PHARMACY ENROLLMENTS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1233 PRECINCT LINE RD, HURST, TX 76053-4226
(817) 595-2484
Mailing address
1 CVS DR, BOX 1075-PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
25746
TX
333600000X
Pharmacy
Primary
25746
TX
3336C0003X
Community/Retail Pharmacy
25746
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4547254
NCPDP #
—
05
—
466470
—
TX
Enumeration date
01/16/2008
Last updated
02/13/2015
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