Organization
DELAWARE CVS PHARMACY LLC
Active
Other names
CVS PHARMACY# 03042
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1545 PULASKI HIGHWAY, BEAR, DE 19701-1303
(302) 832-8701
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0845428
NCPDP
—
05
—
1801237458
—
DE
Enumeration date
07/11/2013
Last updated
01/03/2014
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