Organization
TENNESSEE CVS PHARMACY LLC
Active
Other names
TARGET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
4700 NEW HARVEST LN, KNOXVILLE, TN 37918-7000
(865) 291-0087
(865) 291-0087
Mailing address
1 CVS DR, MAIL CODE 1090, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4283
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095017
PK
—
05
—
4439419
—
TN
Enumeration date
06/12/2006
Last updated
01/11/2016
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