Organization
RHODE ISLAND CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #00852
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
2250 NEW LONDON TPKE, EAST GREENWICH, RI 02818-1257
(401) 821-3145
Mailing address
ONE CVS DRIVE, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
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
01
—
0513400
DME
RI
01
—
4107113
NCPDP
RI
05
—
CR 73080
—
RI
Enumeration date
08/29/2008
Last updated
05/11/2010
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