Organization
OREGON CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #16127
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
9000 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9758
(503) 974-5058
(503) 303-1932
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
RP-0002499
OR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2116814
PK
—
Enumeration date
09/03/2008
Last updated
11/30/2016
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