Organization
PENNSYLVANIA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #17569
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
960 LITITZ PIKE, LITITZ, PA 17543-9327
(717) 627-8250
(717) 627-8250
Mailing address
1 CVS DR, MAIL CODE 1090, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PP482210
PA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131361
PK
—
Enumeration date
08/10/2011
Last updated
11/30/2016
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