Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY #08431
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
7200 BANCROFT AVE, OAKLAND, CA 94605-2403
(510) 569-2795
Mailing address
1 CVS DR, BOX 1075 PHARMACY ENROLLMENTS, 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
—
1447521737
—
CA
01
—
5642790
NCPDP
—
Enumeration date
01/19/2012
Last updated
10/01/2012
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