Organization
NEW JERSEY CVS PHARMACY LLC
Active
Other names
CVS PHARMACY 00961
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
3401 SIMPSON AVE, OCEAN CITY, NJ 08226
(609) 399-5252
Mailing address
1 CVS DR, PO 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
RS00475900
NJ
333600000X
Pharmacy
Primary
RS04759
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3134006
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/29/2006
Last updated
11/02/2010
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