Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY 00009
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
467 BROADWAY, REVERE, MA 02151-3030
(781) 289-6099
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
16477
MA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2216477
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/11/2006
Last updated
07/30/2025
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