Organization
NEW JERSEY CVS PHARMACY LLC
Active
Other names
CVS Pharmacy# 10552
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
85 MAIN ST, HACKETTSTOWN, NJ 07840-1912
(908) 852-2024
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
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
05
—
0542440
—
NJ
01
—
3151064
NCPDP
NJ
Enumeration date
10/14/2015
Last updated
01/20/2017
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