Organization
OREGON CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #11639, RITE AID PHARMACY 05329
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
90 B AVENUE, LAKE OSWEGO, OR 97034-3131
(503) 697-0990
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
7219
OR
Other
Enumeration date
08/30/2006
Last updated
09/19/2025
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