Organization
CVS MANCHESTER NH LLC
Active
Other names
CVS PHARMACY # 02197
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
301 N MAIN ST, ROCHESTER, NH 03867-4302
(603) 332-6497
Mailing address
1 CVS DR, BOX 1075 - PHARMACY ENROLLMENTS, 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
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3061429
NCPDP
NH
05
—
30709287
—
NH
Enumeration date
11/15/2011
Last updated
04/05/2012
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