Organization
WARM SPRINGS ROAD CVS, L.L.C.
Active
Other names
CVS PHARMACY #02955
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, MANAGED CARE ADMIN)
(401) 770-2751
Entity
Organization
Contact information
Practice address
3290 S FORT APACHE RD, LAS VEGAS, NV 89117-0738
(702) 254-2598
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH01668
NV
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2984171
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00754617
MEDICARE RR
—
Enumeration date
09/22/2006
Last updated
06/03/2019
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