Organization
OKLAHOMA CVS PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DR. PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1701 E 15TH STREET, TULSA, OK 74104
(918) 743-6383
Mailing address
1 CVS DRIVE, BOX 1075, WOONSOCKET, RI 02895
(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
Enumeration date
05/08/2017
Last updated
09/20/2023
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