Organization
ALABAMA CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY #02505
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
93 EUCLID AVE, MOUNTAIN BROOK, AL 35213-3701
(205) 871-2151
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 735-1080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
111339
AL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0128733
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
1891899860
AL MEDICAID DME #
AL
05
—
1891899860
—
AL
Enumeration date
09/12/2006
Last updated
01/24/2024
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