Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY # 04768
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
510 C ST, SAN DIEGO, CA 92101-5208
(619) 615-0263
Mailing address
ONE CVS DR, BOX 1075, WOONSOCKET, RI 02895
(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
—
5632585
NCPDP - OTHER COMMERICAL IDENTIFIER
—
Enumeration date
10/22/2008
Last updated
05/12/2014
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