Organization
RHODE ISLAND CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 02358
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (MGR PHCY ENROLLMENTS)
(401) 770-2752
Entity
Organization
Contact information
Practice address
10 TURNPIKE AVE, PORTSMOUTH, RI 02871-1416
(401) 682-2098
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
RI
333600000X
Pharmacy
Primary
00188
RI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3910020
DME
RI
01
—
4105892
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
RI 75661
—
RI
Enumeration date
09/20/2006
Last updated
04/01/2020
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