Organization
CVS PHARMACY, INC.
Active
Other names
CVS Pharmacy # 05651
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1602 EAST HIGHWAY 83, WESLACO, TX 78596-6623
(956) 447-1916
Mailing address
1 CVS DR, BOX- 1075 PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
333600000X
Pharmacy
Primary
—
TX
3336C0003X
Community/Retail Pharmacy
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216922901
DME
TX
05
—
466699
—
TX
01
—
5900178
NCPDP
TX
Enumeration date
05/27/2010
Last updated
12/20/2022
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