Organization
CVS MANCHESTER NH LLC
Active
Other names
CVS PHARMACY #10572
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
309 NASHUA ST, MILFORD, NH 03055-3796
(603) 249-1015
(603) 869-7377
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
—
NH
333600000X
Pharmacy
Primary
—
NH
3336C0003X
Community/Retail Pharmacy
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3061847
NCPDP
NH
05
—
3106663
—
NH
Enumeration date
07/22/2016
Last updated
01/17/2017
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