Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY 07716
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1836 PAT BOOKER RD, UNIVERSAL CITY, TX 78148-3437
(210) 658-8011
(210) 658-5402
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
24750
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4505876
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
464178
—
TX
Enumeration date
09/12/2006
Last updated
03/09/2015
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