Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY #08898
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
7300 S ALAMEDA ST, WALNUT PARK, CA 90255-3738
(323) 583-0638
Mailing address
ONE CVS DRIVE, WOONSOCKET, RI 02895
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
CA
333600000X
Pharmacy
Primary
—
CA
3336C0003X
Community/Retail Pharmacy
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750551164
—
CA
01
—
5629603
NCPDP - OTHER COMMERCIAL IDENTIFIER
—
Enumeration date
03/03/2008
Last updated
04/20/2022
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