Organization
CVS PHARMACY INC
Active
Other names
CVS Pharmacy #10843
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
19244 MCDONALD ST, LYTLE, TX 78052-3644
(830) 772-3404
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
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146491
—
TX
01
—
4545680
NCPDP
TX
Enumeration date
08/28/2007
Last updated
05/08/2015
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