Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS Pharmacy #10478
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIR PAYER RELATIONS)
(401) 765-2751
Entity
Organization
Contact information
Practice address
657 HWY 101 N, CRESCENT CITY, CA 95531
(707) 464-5429
Mailing address
1 CVS DR, BOX 1075 -PHARMACY ENROLLMENTS, 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
—
5541620751
MEDICARE NSC
CA
01
—
5662033
NCPDP
—
Enumeration date
01/18/2017
Last updated
06/14/2017
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