Organization
UTAH CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #17590
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
5518 W HIGH MARKET DR, WEST VALLEY CITY, UT 84120-1306
(801) 449-8023
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
9610045-1703
UT
Other
Enumeration date
05/18/2012
Last updated
03/14/2019
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