Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY #09764
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2937
Entity
Organization
Contact information
Practice address
351 CARMEN DR, STE B, CAMARILLO, CA 93010-6033
(805) 484-3632
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5620528
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00754192
MEDICARE RR
—
Enumeration date
06/10/2006
Last updated
08/26/2011
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