Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY #11067
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
2735 SIENNA PARKWAY, MISSOURI, TX 77459
(281) 778-9405
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
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4711169
—
TX
01
—
5920598
NCPDP
TX
01
—
PH0708
MASS IMM
TX
Enumeration date
02/01/2017
Last updated
06/05/2017
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