Organization
PENNSYLVANIA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #11356
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR DIRECTOR PAYER RELATIONS)
(800) 746-7287
Entity
Organization
Contact information
Practice address
3401 ARAMINGO AVE, PHILADELPHIA, PA 19134-4507
(445) 201-8998
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 735-1080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
08/15/2022
Last updated
05/03/2024
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