Organization
CVS ALBANY LLC
Active
Other names
CVS PHARMACY# 10654
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
757 3RD AVE, NEW YORK, NY 10017-2013
(212) 758-2503
Mailing address
1 CVS DR, BOX 1075 PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04284566
—
NY
01
—
5813818
NCPDP
—
Enumeration date
06/17/2015
Last updated
02/25/2016
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