Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY #09698
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
100 W FOOTHILL BLVD, UPLAND, CA 91786-3847
(909) 982-8908
Mailing address
1 CVS DR, PO 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
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689619595
—
CA
01
—
5620592
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00754218
MEDICARE RR
—
Enumeration date
06/17/2006
Last updated
08/31/2010
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