Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY # 08436
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
27310 BASELINE, HIGHLAND, CA 92346-3280
(909) 862-4048
Mailing address
ONE CVS DRIVE, BOX 1075 PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
CA
333600000X
Pharmacy
Primary
—
CA
3336C0003X
Community/Retail Pharmacy
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790947950
—
CA
01
—
5631076
NCPDP NUMBER - OTHER COMMERCIAL IDENTIFIER
—
Enumeration date
06/30/2008
Last updated
06/10/2014
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