Organization
ARKANSAS CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 10678
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR-PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1501 WEST KINGS HWY, PARAGOULD, AR 72450-4010
(870) 240-8405
Mailing address
1 CVS DRIVE, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
AR
333600000X
Pharmacy
Primary
—
AR
3336C0003X
Community/Retail Pharmacy
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0425416
NCPDP
AR
05
—
212579407
—
AR
Enumeration date
10/26/2015
Last updated
04/11/2016
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