Organization
WOODWARD DETROIT CVS, LLC
Active
Organization
WOODWARD DETROIT CVS, LLC
Active
Other names
CVS PHARMACY # 10137
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
132 DOUGLAS AVE., HOLLAND, MI 49424-6514
(616) 396-2959
Mailing address
ONE CVS DRIVE, WOONSOCKET, RI 02895-6164
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679822381
—
MI
01
—
2377150
NCPDP
MI
Enumeration date
09/10/2012
Last updated
09/17/2013
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