Organization
WOODWARD DETROIT CVS, LLC
Active
Other names
CVS PHARMACY # 10626
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
101 N EUCLID AVE, BAY CITY, MI 48706-2939
(989) 686-2807
(989) 686-2989
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
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
—
1902293392
—
MI
01
—
2380626
NCPDP
MI
Enumeration date
04/23/2015
Last updated
08/13/2015
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