Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS Pharmacy #10508
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
4949 SANTA MONICA AVE, SAN DIEGO, CA 92107-2812
(619) 222-1457
Mailing address
1 CVS DR, 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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629473988
—
CA
01
—
5653147
NCPDP
—
Enumeration date
10/29/2014
Last updated
07/13/2017
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