Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY #07401
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
4101 IH 69 ACCESS RD, STE C, CORPUS CHRISTI, TX 78410-4543
(361) 241-9381
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
24654
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4562650
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
465852
—
TX
01
—
P00754740
MEDICARE RR
—
Enumeration date
09/19/2006
Last updated
11/19/2015
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