Organization
MONTANA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY 05302
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
425 EAST MAIN ST, BILLINGS, MT 59105-3227
(406) 259-7861
Mailing address
1 CVS DR, BOX 1075 PHARMACY ENROLLMENTS, 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
—
1699945949
—
MT
01
—
2783341
NCPDP
MT
Enumeration date
03/03/2008
Last updated
10/07/2011
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