Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY #02500
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1075 BROADWAY, SAUGUS, MA 01906-3210
(781) 233-2643
Mailing address
ONE CVS DRIVE, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
MA
333600000X
Pharmacy
Primary
—
MA
3336C0003X
Community/Retail Pharmacy
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0416410
—
MA
01
—
2242408
NCPDP # - OTHER COMMERCIAL IDENTIFIER
—
Enumeration date
07/22/2008
Last updated
03/13/2012
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