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Organization

WOODWARD DETROIT CVS LLC

Active
Other names
CVS PHARMACY # 10442
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 765-1500
Entity
Organization

Contact information

Practice address
1015 S SAGINAW RD, MIDLAND, MI 48640-5642
(989) 839-2069
(989) 839-2096
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
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1902292881
MI
01
2380563
NCPDP
MI
Enumeration date
04/08/2015
Last updated
08/13/2015
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