Organization
CONNECTICUT CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy # 06807
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIR. MANAGED CARE ADMINISTRATION)
(401) 770-2751
Entity
Organization
Contact information
Practice address
153 BROAD ST, MERIDEN, CT 06450-6550
(203) 237-8997
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PCY 423
CT
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004231099
MEDICAID DME
CT
05
—
004231106
—
CT
01
—
0719572
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/12/2006
Last updated
02/07/2017
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