Organization
TENNESSEE CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #02179
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
4058 FRANKLIN ROAD, MURFREESBORO, TN 37128
(615) 890-3429
Mailing address
1 CVS DR, BOX 1075- PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
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
—
1568623981
—
TN
01
—
4441375
NCPDP NUMBER
TN
Enumeration date
06/18/2008
Last updated
01/15/2016
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