Organization
GERMAN DOBSON CVS LLC
Active
Other names
CVS Pharmacy #05950
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR DIRECTOR, PAYER RELATIONS)
(800) 746-7287
Entity
Organization
Contact information
Practice address
855 E ELLIOT RD, TEMPE, AZ 85284-1584
(480) 456-3602
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 735-1080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
Y04167
AZ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0352423
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00959043
RR PTAN
—
Enumeration date
09/14/2006
Last updated
04/10/2024
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