Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY # 09689
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (MANAGER PHARMACY ENROLLMENTS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
950 W FOOTHILL BLVD, MONROVIA, CA 91016-1916
(626) 357-1818
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5620314
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00754192
MEDICARE RR
—
Enumeration date
06/10/2006
Last updated
08/26/2011
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