Organization
NEW JERSEY CVS PHARMACY LLC
Active
Other names
CVS PHARMACY #06064
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIR., MANAGED CARE ADMINISTRATION)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1646 MAIN AVE, CLIFTON, NJ 07011-2142
(973) 345-7373
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
—
—
333600000X
Pharmacy
Primary
4152
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235733
—
NJ
01
—
3129827
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/07/2006
Last updated
11/17/2010
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