Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY #09524
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
3350 PALM AVE, SAN DIEGO, CA 92154-1662
(619) 424-7030
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
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
05
—
1770527020
—
CA
01
—
5621873
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00754192
MEDICARE RR
—
Enumeration date
06/16/2006
Last updated
08/23/2011
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