Organization
ALABAMA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #06017
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
12900 N WINTZELL AVE, BAYOU LABATRE, AL 36509-2106
(215) 824-3692
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 735-1080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
112475
AL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0132441
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
1649375478
DME
AL
05
—
1649375478
—
AL
Enumeration date
09/14/2006
Last updated
03/26/2024
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