Organization
OHIO CVS STORES LLC
Active
Other names
CVS Pharmacy #16779
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(800) 746-7287
Entity
Organization
Contact information
Practice address
3245 GEIER DR, CINCINNATI, OH 45209-5009
(513) 631-5717
(513) 322-3138
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 735-1080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
RTPC.022571200-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2078606
PK
—
Enumeration date
07/24/2006
Last updated
04/25/2024
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