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Organization

PENNSYLVANIA CVS PHARMACY LLC

Active
Other names
CVS Pharmacy # 04662
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN F. COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization

Contact information

Practice address
765 E COUNTY LINE RD, HATBORO, PA 19040-1207
(215) 322-2443
Mailing address
1 CVS DR, P.O.BOX 1075, 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
05
1015538870377
PA
01
1851699169
PACE
PA
01
3995149
NCPCP
PA
Enumeration date
03/10/2011
Last updated
06/29/2011
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