Organization
VERMONT CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy # 01052
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
7 ESSEX WAY, ESSEX JUNCTION, VT 05452-3384
(802) 879-7438
(401) 770-7108
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
05
—
1018173
—
VT
01
—
4704361
NCPDP
VT
Enumeration date
06/23/2010
Last updated
04/19/2013
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