Organization
CARECENTER PHARMACY LLC
Active
Other names
CarePlus CVS Pharmacy # 10625
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1 COCA COLA PLZ NW, ATLANTA, GA 30313-2420
(404) 249-8370
Mailing address
ONE CVS DRIVE, 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
—
003162124A
—
GA
01
—
1166316
NCPDP
GA
Enumeration date
03/03/2015
Last updated
12/30/2015
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