Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY #10509
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
3627 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90063-2216
(323) 268-2703
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497120679
—
CA
01
—
5658058
NCPDP
—
Enumeration date
12/14/2015
Last updated
02/23/2017
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