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Organization

WOODWARD DETROIT CVS, LLC

Active
Other names
CVS PHARMACY # 06804
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization

Contact information

Practice address
2010 E APPLE AVE, MUSKEGON, MI 49442-4348
(231) 767-1122
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1750639415
MI
01
2377112
NCPDP
MI
Enumeration date
08/28/2012
Last updated
04/20/2020
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