Organization
NEBRASKA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #04033
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
5611 SOUTH 27TH ST, LINCOLN, NE 68512-1613
(402) 420-0318
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
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
—
10026113600
—
NE
01
—
2818271
NCPDP
—
Enumeration date
09/15/2011
Last updated
02/16/2012
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