Organization
RHODE ISLAND CVS PHARMACY LLC
Active
Other names
CVS Pharmacy # 10299
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
3986 OLD POST RD, CHARLESTOWN, RI 02813-2550
(401) 364-0900
Mailing address
1 CVS DR, BOX 1075 - PHARMACY ENROLLMENT, 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
05
—
3910060 DME
—
RI
01
—
4107555
NCPDP
RI
05
—
RI93433
—
RI
Enumeration date
04/22/2013
Last updated
10/02/2014
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