Organization
CVS PHARMACY INC
Active
Other names
CVS Pharmacy # 00038
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
142 WORCESTER RD, CHARLTON, MA 01507
(508) 248-5473
Mailing address
ONE CVS DRIVE, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895
(401) 765-1500
(401) 770-7108
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
—
0408212
—
MA
01
—
2241759
NCPDP - OTHER COMMERCIAL IDENTIFIER
—
Enumeration date
02/21/2007
Last updated
08/11/2011
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