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Organization

CVS ALBANY LLC

Active
Other names
CVS Pharmacy #17065
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization

Contact information

Practice address
2975 HORSEBLOCK RD, MEDFORD, NY 11763
(631) 286-1854
(631) 286-5055
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
034180
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2063986
PK
Enumeration date
07/26/2006
Last updated
10/26/2016
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