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Organization

OHIO CVS STORES LLC

Active
Other names
CVS PHARMACY #03032
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization

Contact information

Practice address
4961 MONTICELLO BLVD, RICHMOND HEIGHTS, OH 44143-2847
(216) 291-1250
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
2124650
OH
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3604712
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
09/07/2006
Last updated
08/26/2011
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