Organization
ARKANSAS CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy # 10519
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR.DIRECTOR-PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
2001 S THOMPSON ST, SPRINGDALE, AR 72764-6329
(479) 927-1568
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
—
AR
333600000X
Pharmacy
Primary
—
AR
3336C0003X
Community/Retail Pharmacy
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0425098
NCPDP
AR
05
—
207821407
—
AR
01
—
209207716
DME
AR
Enumeration date
02/11/2015
Last updated
09/24/2015
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