Organization
GARFIELD BEACH CVS, L.L.C.
Active
Other names
CVS Pharmacy # 07191
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
15718 HAWTHORNE BLVD (NEC), LAWNDALE, CA 90260
(310) 970-7440
Mailing address
ONE CVS DRIVE, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PHY48214
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5622887
NCPDP
—
Enumeration date
08/03/2006
Last updated
08/26/2011
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