Organization
CVS PHARMACY, INC.
Active
Other names
CVS Pharmacy #03187
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MANAGER, PHARMACY ENROLLMENTS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1000 E SANDY LAKE RD, COPPELL, TX 75019-3111
(972) 304-1061
Mailing address
1 CVS DR, BOX 1075- PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
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
—
4548814
NCPDP
TX
05
—
466510
—
TX
Enumeration date
06/19/2008
Last updated
02/17/2015
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