Organization
PENNSYLVANIA CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY #01908
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIR PHCY ENROLLMENTS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
327 WOODLAWN AVE, BETHLEHEM, PA 18018-2627
(610) 691-4463
Mailing address
1 CVS DR, PO 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
PP415117L
PA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3971101
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00754724
MEDICARE RR
PA
Enumeration date
09/12/2006
Last updated
03/09/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us