Organization
DELAWARE CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy # 10609
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR.DIRECTOR-PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
4020 CONCORD PIKE, WILMINGTON, DE 19803-1718
(302) 478-1510
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
—
DE
333600000X
Pharmacy
Primary
—
DE
3336C0003X
Community/Retail Pharmacy
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0845670
NCPDP
DE
05
—
1750778379
—
DE
Enumeration date
04/21/2015
Last updated
09/24/2015
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