Organization
LOUISIANA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy # 01579
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR,PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
6800 JOHNSTON ST, LAFAYETTE, LA 70503
(337) 993-9883
Mailing address
ONE CVS DRIVE, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5751
LA
333600000X
Pharmacy
Primary
5751
LA
3336C0003X
Community/Retail Pharmacy
5751
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1933123
COMMERCIAL NUMBER
—
Enumeration date
02/14/2007
Last updated
10/07/2011
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