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Organization

OHIO CVS STORES, L.L.C.

Active
Other names
CVS Pharmacy #11213
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization

Contact information

Practice address
126 N MAIN ST, BLUFFTON, OH 45817-1246
(419) 358-5946
(419) 358-4289
Mailing address
1 CVS DR # 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(419) 358-4289

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
3336C0003X
Community/Retail Pharmacy
022269400
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2138321
PK
Enumeration date
06/18/2006
Last updated
02/14/2018
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