Organization
CARECENTER PHARMACY, L.L.C.
Active
Other names
CarePlus CVS/pharmacy# 02757
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (MGR PHARMACY ENROLLMENTS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
133 PEACHTREE STREET, ATLANTA, GA 30303-1804
(404) 522-6330
(404) 522-6357
Mailing address
1 CVS DR, BOX 1075-PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHRB008993
GA
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PHRB008993
GA
3336S0011X
Specialty Pharmacy
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1153852
NCPDP
—
05
—
980325390A
—
GA
Enumeration date
12/15/2006
Last updated
03/15/2011
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