Organization
GEORGIA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy # 10043
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
235 PEACHTREE ST NE, ATLANTA, GA 30303-1401
(404) 577-4054
Mailing address
ONE CVS DRIVE, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
GA
333600000X
Pharmacy
Primary
—
GA
3336C0003X
Community/Retail Pharmacy
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126065A
—
GA
01
—
1162279
NCPDP
GA
Enumeration date
04/12/2012
Last updated
12/18/2012
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