Organization
LOUISIANA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #17881
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR)
(401) 770-2751
Entity
Organization
Contact information
Practice address
3450 HIGHWAY 190 STE 2, MANDEVILLE, LA 70471-3196
(985) 377-7247
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
Enumeration date
08/15/2022
Last updated
12/28/2022
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