Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY #10340
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
210 E BROAD ST, MINEOLA, TX 75773-2102
(903) 569-5343
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
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
01
—
4542583
NCPDP
—
05
—
466892
—
TX
Enumeration date
10/18/2005
Last updated
01/19/2023
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