Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY #10445
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
125 N CENTRAL AVE, GLENDALE, CA 91203-2502
(818) 637-2758
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
—
5662742
NCPDP
—
Enumeration date
03/01/2017
Last updated
10/18/2017
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