Organization
NEW JERSEY CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #05461
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
120 WOODWARD ROAD, MANALAPAN, NJ 07726
(732) 446-0138
(732) 446-0379
Mailing address
1 CVS DR, BOX 1075, 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
—
0149349
—
NJ
01
—
3194684
NCPDP #
NJ
Enumeration date
09/07/2007
Last updated
06/25/2014
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