Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY #07757
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (EXEC DIR, RX SERVICES)
(401) 770-2751
Entity
Organization
Contact information
Practice address
3340 S WESTERN ST, AMARILLO, TX 79109-3242
(806) 358-3388
(806) 354-9761
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
24524
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000463838
—
TX
01
—
4595370
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00754740
MEDICARE RR
TX
Enumeration date
09/20/2006
Last updated
01/18/2023
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