Organization
UTAH CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #17911
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1200 TOWNE CENTRE BLVD SPC A, PROVO, UT 84601-2995
(801) 788-3833
(801) 386-7394
Mailing address
1 CVS DRIVE, 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
Enumeration date
01/29/2024
Last updated
02/12/2024
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