Organization
ALABAMA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #04882
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1535 DECATUR HWY, FULTONDALE, AL 35068-1733
(205) 849-9744
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 735-1080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
110869
AL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120496
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
1588767214
—
AL
01
—
P00754161
MEDICARE RR
—
Enumeration date
09/07/2006
Last updated
02/27/2024
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