Organization
PENNSYLVANIA CVS PHARMACY, L.L.C.
Active
Organization
PENNSYLVANIA CVS PHARMACY, L.L.C.
Active
Other names
Cvs Pharmacy #11506
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1 GREAT VALLEY BLVD, WILKES BARRE, PA 18706-5324
(401) 765-1500
(401) 735-1080
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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