Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY #09644
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MANAGER PHARMACY ENROLLMENTS)
(401) 770-2937
Entity
Organization
Contact information
Practice address
16975 BEAR VALLEY RD, HESPERIA, CA 92345-1809
(760) 947-7043
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5621215
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00754218
MEDICARE RR
—
Enumeration date
06/17/2006
Last updated
11/19/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us