Organization
LOUISIANA CVS PHARMACY, LLC
Active
Other names
CVS Pharmacy # 04068
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN COLBERT (DIRECTOR,PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
998 HIGHWAY 80, HAUGHTON, LA 71037
(318) 390-7780
(401) 770-7108
Mailing address
1 CVS DR, BOX 1075 - PHARMACY ENROLLMENTS, 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
Enumeration date
03/09/2007
Last updated
10/07/2011
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