Organization
CVS PHARMACY INC
Active
Other names
CVS Pharmacy #17921
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
655 W ILLINOIS AVE, DALLAS, TX 75224-1880
(469) 749-2510
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
07/18/2025
Last updated
08/01/2025
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