Organization
CVS MANCHESTER NH LLC
Active
Other names
CVS Pharmacy #17262
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
11 ANDREWS RD, SOMERSWORTH, NH 03878-1042
(603) 692-6751
(603) 692-6751
Mailing address
1 CVS DR, 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
0688 P
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2053923
PK
—
Enumeration date
10/19/2006
Last updated
11/03/2016
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