Organization
NEVADA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy # 00082
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
6432 LOSEE RD, N LAS VEGAS, NV 89086-0100
(702) 399-4776
Mailing address
1 CVS DR, BOX 1075-PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
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
05
—
1811166283 RX & DME
—
NV
01
—
2990869
NCPDP
NV
Enumeration date
02/29/2008
Last updated
06/03/2019
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