Organization
OREGON CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #11677, RITE AID PHARMACY 05390
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1900 NORTHEAST THIRD STREET, SUITE 111, BEND, OR 97701-3888
(541) 389-1717
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
6773
OR
Other
Enumeration date
08/30/2006
Last updated
09/30/2025
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