Organization
NEW JERSEY CVS PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
5300 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5616
(201) 974-0818
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
RS04742
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3133927
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/29/2006
Last updated
04/18/2018
About Stedi
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