Organization
WASHINGTON CVS PHARMACY LLC
Active
Other names
RITE AID PHARMACY 05269, CVS Pharmacy #11653
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1912 NORTH PEARL STREET, TACOMA, WA 98406-2457
(253) 879-0140
Mailing address
1 CVS DR, 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
262010404309
WA
Other
Enumeration date
07/31/2006
Last updated
09/09/2025
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