Organization
CONNECTICUT CVS PHARMACY LLC
Active
Other names
CVS PHARMACY#07093
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
47 LAKE AVE EXT, DANBURY, CT 06811-5259
(203) 778-7471
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
Primary
PCY2003
CT
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0720359
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/14/2006
Last updated
09/06/2012
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