Organization
LOUISIANA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY# 10559
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
939 GIROD ST, SUITE 160, NEW ORLEANS, LA 70113-0000
(504) 581-6959
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
—
1938630
NCPDP
—
05
—
2203801
—
LA
Enumeration date
06/04/2015
Last updated
09/11/2015
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