Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY #07735
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1301 W. PFLUGERVILLE PKWY, PFLUGERVILLE, TX 78660-2501
(512) 990-8010
(512) 990-7694
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
24757
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4501311
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
464225
—
TX
01
—
P00754740
MEDICARE RR
TX
Enumeration date
09/12/2006
Last updated
06/21/2018
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