Organization
NEW JERSEY CVS PHARMACY LLC
Active
Other names
CVS Pharmacy # 04841
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1 US ROUTE 9 SOUTH, MARMORA, NJ 08223
(609) 390-0060
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
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
—
0271241
—
NJ
01
—
3197781
NCPDP
—
Enumeration date
03/31/2011
Last updated
03/06/2012
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