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Organization

CVS PHARMACY, INC.

Active
Other names
CVS Pharmacy # 01037
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization

Contact information

Practice address
1671 HIGHWAY 71 E, BASTROP, TX 78602-4314
(512) 308-0234
Mailing address
1 CVS DR, P O BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
TX
333600000X
Pharmacy
Primary
TX
3336C0003X
Community/Retail Pharmacy
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
218068901
DME
TX
05
466685
TX
01
5900142
NCPDP
TX
Enumeration date
05/12/2010
Last updated
03/25/2015
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