Organization
CVS PHARMACY INC
Active
Other names
CVS Pharmacy # 00835
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
103 W EDINBURG AVE, ELSA, TX 78543
(956) 262-6292
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
333600000X
Pharmacy
Primary
—
TX
3336C0003X
Community/Retail Pharmacy
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
284291601
MEDICAID DME
TX
05
—
466743
—
TX
01
—
5902994
NCPDP
TX
Enumeration date
04/20/2011
Last updated
02/29/2012
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