Organization
GERMAN DOBSON CVS, L.L.C.
Active
Other names
CVS Pharmacy #00017
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(800) 746-7287
Entity
Organization
Contact information
Practice address
18591 N 59TH AVE, GLENDALE, AZ 85308-1251
(602) 789-1166
(602) 789-0567
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 735-1080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
4059
AZ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0327569
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
785777
—
AZ
Enumeration date
09/14/2006
Last updated
03/27/2024
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