Organization
WOODWARD DETROIT CVS, L.L.C.
Active
Other names
CVS PHARMACY #08190
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
45300 CHERRY HILL RD, CANTON, MI 48187-5073
(734) 981-3968
(734) 981-4516
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
5301-006481
MI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2356245
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
3298252
—
MI
Enumeration date
09/05/2006
Last updated
02/22/2011
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