Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY #04675
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
377 32ND AVE, SAN FRANCISCO, CA 94121-1738
(415) 666-3153
Mailing address
1 CVS DR, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PHY50674
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871886457
—
CA
01
—
5640936
NCPDP
—
Enumeration date
05/16/2011
Last updated
01/23/2013
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