Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY #07288
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
11661 PRESTON RD, STE 218, DALLAS, TX 75230-2745
(214) 363-1571
(214) 363-3940
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
24846
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000461633
—
TX
01
—
4555857
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/19/2006
Last updated
07/12/2011
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