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Organization

CVS PHARMACY INC

Active
Other names
CVS PHARMACY # 08337
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization

Contact information

Practice address
2004 N GOLIAD ST, ROCKWALL, TX 75087-7317
(972) 722-4706
(972) 722-6703
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500

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
4543523
OTHER ID NUMBER-COMMERCIAL NUMBER
05
466370
TX
Enumeration date
12/26/2006
Last updated
10/18/2010
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