Organization
LOUISIANA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY #10558
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
304 S 5TH ST, LEESVILLE, LA 71446-4346
(337) 239-4249
Mailing address
1 CVS DR, 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202472
—
LA
01
—
NCPDP
1937246
—
Enumeration date
12/04/2013
Last updated
03/17/2016
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