Organization
ALABAMA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #17172
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1235 POINT MALLARD PKWY SE, DECATUR, AL 35601-6531
(256) 898-3037
(256) 898-3034
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
112997
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100040201
—
AL
01
—
1996169
PK
—
Enumeration date
08/31/2007
Last updated
03/27/2024
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