Organization
NEBRASKA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY # 08610
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2755 S 48TH ST, LINCOLN, NE 68506-2531
(402) 484-5777
Mailing address
1 CVS DR, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
2715
NE
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025701000
—
NE
01
—
2817229
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/16/2006
Last updated
10/27/2014
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