Organization
MAIN STREET PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #48594
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR DIRECTOR)
(401) 770-2751
Entity
Organization
Contact information
Practice address
3235 MILL VISTA RD, HIGHLANDS RANCH, CO 80129-2440
(303) 583-1456
Mailing address
1 CVS DR # 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
11/07/2023
Last updated
02/06/2024
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