Organization
RHODE ISLAND CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 02065
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
11 MAIN ST, WAKEFIELD, RI 02879-3562
(401) 783-3384
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
RI
333600000X
Pharmacy
Primary
PHA00341
RI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3910022
DME
RI
01
—
4105640
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00814005
MEDICARE RR
—
05
—
RI75562
—
RI
Enumeration date
09/12/2006
Last updated
06/16/2014
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