Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY #05225
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2636 MARCONI AVE, SACRAMENTO, CA 95821-5106
(916) 485-6917
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
05
—
1619302601
—
CA
01
—
5648754
NCPDP
—
Enumeration date
09/09/2013
Last updated
07/07/2014
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