Organization
OHIO CVS STORES LLC
Active
Other names
CVS Pharmacy# 10246
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
4121 MONROE ST, TOLEDO, OH 43606-2064
(419) 475-4148
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092211
—
OH
01
—
3681219
NCPDP
—
Enumeration date
08/13/2013
Last updated
01/17/2014
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