Organization
PENNSYLVANIA CVS PHARMACY, L.L.C
Active
Other names
CVS Pharmacy # 11040
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
131 E MAIN ST, HUMMELSTOWN, PA 17036-1619
(717) 566-3209
Mailing address
1 CVS DR, 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
Enumeration date
02/20/2018
Last updated
04/20/2020
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