Organization
LOUISIANA CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY 05503
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-1624
Entity
Organization
Contact information
Practice address
4901 PRYTANIA ST, NEW ORLEANS, LA 70115-4017
(504) 891-6307
(504) 891-4965
Mailing address
1 CVS DR, PO 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
5407
LA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001265101
—
LA
01
—
1923792
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/12/2006
Last updated
01/23/2014
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