Organization
CONNECTICUT CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY #02475
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
122 E PUTNAM RD, COS COB, CT 06807-2720
(203) 422-2129
Mailing address
1 CVS DR, BOX 1075-PHARMACY ENROLLMENTS, 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
—
008002438
—
CT
01
—
0721262
NCPDP
CT
Enumeration date
09/10/2008
Last updated
03/30/2011
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