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Organization

WOODWARD DETROIT CVS, LLC

Active
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Organization

WOODWARD DETROIT CVS, LLC

Active
Other names
CVS PHARMACY # 10548
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization

Contact information

Practice address
2600 W. MICHIGAN AVE, KALAMAZOO, MI 49006-5502
(269) 343-4232
(269) 216-9703
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
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1750741757
MI
01
2381971
NCPDP
MI
Enumeration date
03/03/2016
Last updated
10/13/2016
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