Organization
GERMAN DOBSON CVS LLC
Active
Other names
CVS PHARMACY# 00193
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
4990 S ARIZONA AVE, CHANDLER, AZ 85248-5021
(480) 802-6748
Mailing address
1 CVS DR, BOX 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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0355405
NCPDP
AZ
05
—
351542
—
AZ
Enumeration date
06/09/2008
Last updated
03/27/2024
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