Organization
CVS PHARMACY INC.
Active
Other names
CVS Pharmacy #10821
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
709 GUADALUPE ST., LAREDO, TX 78040-5261
(956) 723-2911
Mailing address
1 CVS DRIVE, 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
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108504504
—
TX
05
—
145185
—
TX
01
—
4513025
NCPDP
TX
Enumeration date
09/19/2006
Last updated
11/26/2018
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