Organization
PENNSYLVANIA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY # 07253
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1678 SUSQUEHANNA RD, DRESHER, PA 19025
(215) 628-2712
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
05
—
105538870444
—
PA
01
—
1588030001
PACE
PA
01
—
6002682
NCPDP
PA
Enumeration date
08/19/2015
Last updated
01/05/2016
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