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Organization

KENTUCKY CVS PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR)
(401) 765-1500
Entity
Organization

Contact information

Practice address
1227 US 127 S, FRANKFORT, KY 40601-4329
(502) 875-2550
(502) 875-5094
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
P06780
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1827469
NCPDP
KY
01
6031860079
MED B
KY
05
7100475790
KY
05
7100487270
KY
Enumeration date
10/23/2006
Last updated
11/27/2017
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