Organization
LOUISIANA CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 10941
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR-PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
10460 NORRIS FERRY RD, SHREVEPORT, LA 71106
(318) 798-5624
Mailing address
ONE CVS DRIVE, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
LA
333600000X
Pharmacy
Primary
—
LA
3336C0003X
Community/Retail Pharmacy
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1939505
NCPDP
LA
Enumeration date
06/07/2016
Last updated
01/17/2017
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