Organization
OKLAHOMA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy # 10520
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
2107 NW CACHE RD, LAWTON, OK 73505-5213
(580) 353-1588
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
OK
333600000X
Pharmacy
Primary
—
OK
3336C0003X
Community/Retail Pharmacy
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200289490F
—
OK
01
—
200289490G
DME
OK
01
—
3728269
NCPDP
OK
Enumeration date
08/20/2014
Last updated
12/09/2014
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