Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY # 02881
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1120 FOREST AVE, CHICO, CA 95928-6303
(503) 894-5112
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
—
CA
333600000X
Pharmacy
Primary
PHY50830
CA
3336C0003X
Community/Retail Pharmacy
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780951806
—
CA
01
—
5642485
NCPDP
—
Enumeration date
11/17/2011
Last updated
03/21/2013
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