Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY # 07806
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2051 HALL JOHNSON RD, GRAPEVINE, TX 76051-8735
(817) 410-8808
(817) 410-1512
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
—
TX
333600000X
Pharmacy
Primary
24525
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4506830
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
464274
—
TX
Enumeration date
09/20/2006
Last updated
09/10/2010
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