Organization
CAREMARK LLC
Active
Other names
Caremark New Jersey Specialty Pharmacy, LLC dba CVS specialty
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY L CAMPA (SENIOR CONSULTANT, PAYER RELATIONS)
(909) 799-4174
Entity
Organization
Contact information
Practice address
180 PASSAIC AVE, FAIRFIELD, NJ 07004-3516
(800) 447-4791
Mailing address
PO BOX 99794, CHICAGO, IL 60696-7594
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00635025
—
NY
05
—
1007362920019
—
PA
05
—
6639305
—
NJ
Enumeration date
10/03/2017
Last updated
10/03/2017
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