Organization
OKLAHOMA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY # 06233
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1308 NORTH BRYANT AVE, EDMOND, OK 73034-3201
(405) 359-1025
(405) 340-5127
Mailing address
PO BOX 1090, 1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
OK
333600000X
Pharmacy
Primary
1-5402
OK
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3720643
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
90003928413
—
OK
Enumeration date
09/12/2006
Last updated
09/15/2016
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