Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY 10980
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
10833 GLEANNLOCH FOREST DRIVE, SPRING, TX 77379
(832) 717-0844
Mailing address
1 CVS DR, BOX 1075, 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
01
—
1284731307
MEDICARE PART B
TX
05
—
471162
—
TX
01
—
5920485
NCPDP
TX
01
—
PH0708
MASS IMM
TX
Enumeration date
01/12/2017
Last updated
07/10/2017
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