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Organization

WOODWARD DETROIT CVS, L.L.C.

Active
Other names
CVS Pharmacy # 03584
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN F. COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization

Contact information

Practice address
209 S STATE ST, ANN ARBOR, MI 48104-2005
(734) 769-1804
(401) 770-7108
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108

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
1629373667
MI
01
2374887
NCPDP
MI
Enumeration date
01/24/2011
Last updated
03/01/2021
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