Organization
CVS PHARMACY INC
Active
Other names
CVS Pharmacy 01339
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
26265 NORTHWEST FWY, CYPRESS, TX 77429-1760
(281) 758-0092
Mailing address
1 CVS DR, BOX 1075 PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
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
—
4548698
NCPDP #
TX
05
—
466508
—
TX
01
—
P00754740
MEDICARE - RR PIN
—
Enumeration date
06/12/2008
Last updated
02/13/2015
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