Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY#06704
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
117 OYSTER CREEK DR, LAKE JACKSON, TX 77566-4157
(979) 297-3254
(979) 297-9012
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
333600000X
Pharmacy
Primary
24733
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209139901
DME
TX
01
—
4507022
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
460643
—
TX
Enumeration date
09/12/2006
Last updated
12/20/2022
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