Organization
CONNECTICUT CVS PHARMACY LLC
Active
Other names
Cvs Pharmacy 11264
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
705 BRIDGEPORT AVE, SHELTON, CT 06484-4704
(401) 765-1500
(401) 770-7108
Mailing address
1 CVS DRIVE, BOX 1075, 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
Enumeration date
07/10/2020
Last updated
07/10/2020
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