Organization
GERMAN DOBSON CVS LLC
Active
Other names
CVS PHARMACY #10616
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
7547 E SOUTHERN AVE, MESA, AZ 85209-2741
(480) 830-9249
Mailing address
1 CVS DR, BOX 1075, 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
—
0359871
NCPDP
—
05
—
043358
—
AZ
Enumeration date
06/08/2015
Last updated
09/17/2015
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