Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS Pharmacy #16474
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
430 BLUE RAVINE RD, FOLSOM, CA 95630-3402
(916) 850-1195
(916) 605-1418
Mailing address
1 CVS DR, BOX 1075, 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
PHY54212
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750598546
—
CA
01
—
2112425
PK
—
Enumeration date
05/17/2007
Last updated
07/31/2017
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