Organization
NEW JERSEY CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #17322
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
94 STATE RT 23, RIVERDALE, NJ 07457-1208
(973) 850-2862
(973) 850-2872
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
RS00674200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161225
—
NJ
01
—
2056172
PK
—
Enumeration date
08/31/2007
Last updated
09/26/2016
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