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Organization

GARFIELD BEACH CVS LLC

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
3471 W CENTURY BLVD, INGLEWOOD, CA 90303-1218
(310) 677-5937
(310) 677-5937
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
PHY54017
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1996952
PK
Enumeration date
07/24/2006
Last updated
04/20/2022
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