Organization
GARFIELD BEACH CVS, L.L.C
Active
Other names
CVS PHARMACY #08943
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
102 S SANDERSON AVE, SAN JACINTO, CA 92582-3730
(951) 487-9185
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
05
—
1598099939
—
CA
01
—
5636052
NCPDP - OTHER COMMERCIAL IDENTIFIER
—
Enumeration date
10/01/2009
Last updated
08/24/2011
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