Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY #08981
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
7900 CENTRAL AVE SW, ALBUQUERQUE, NM 87121-2147
(505) 833-7598
Mailing address
PO BOX 1075, PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-0803
(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
01
—
3211961
NCPDP NUMBER - OTHER COMMERCIAL IDENTIFIER
—
01
—
51806061
NM MEDICAID- DME
—
05
—
96154764
—
NM
Enumeration date
01/25/2010
Last updated
06/02/2014
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