Organization
GARFIELD BEACH CVS, L.L.C
Active
Other names
Cvs pharmacy#10924
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR.DIRECTOR PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
3010 BERNAL AVE, PLEASANTON, CA 94566-6606
(925) 462-9138
(401) 770-7108
Mailing address
1 CVS DR, 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
—
5663857
NCPDP
CA
Enumeration date
07/19/2017
Last updated
07/21/2022
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