Organization
WASHINGTON CVS PHARMACY LLC
Active
Other names
CVS PHARMACY #10747
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
11918 AIRPORT RD, EVERETT, WA 98204-5509
(425) 265-7687
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
—
WA
333600000X
Pharmacy
Primary
—
WA
3336C0003X
Community/Retail Pharmacy
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2059434
—
WA
01
—
4937302
NCPDP
WA
Enumeration date
01/04/2016
Last updated
07/01/2016
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