Organization
OKLAHOMA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #10274
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1520 W ELK AVE, DUNCAN, OK 73533-3763
(580) 470-8857
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
—
100233690L
—
OK
01
—
100233690W
DME
OK
01
—
3727433
NCPDP
OK
Enumeration date
07/22/2013
Last updated
07/22/2014
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