Organization
CVS PHARMACY INC
Active
Other names
CVS Pharmacy #08962
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2015 S 77 SUNSHINESTRIP, SUITE A, HARLINGEN, TX 78550-8398
(956) 423-2986
Mailing address
1 CVS DR, BOX 1075 PHARMACY ENROLLMENTS, 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208330501
DME
TX
01
—
4552320
NCPDP
TX
05
—
466622
—
TX
Enumeration date
05/18/2009
Last updated
10/06/2011
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