Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY #09505
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (MANAGER PHARMACY ENROLLMENTS)
(401) 770-2937
Entity
Organization
Contact information
Practice address
4400 E LOS COYOTES DIAGONAL, LONG BEACH, CA 90815-2819
(562) 494-4282
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
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
—
1508802661
—
CA
01
—
5619145
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/20/2006
Last updated
01/16/2015
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