Organization
CVS PHARMACY INC
Active
Other names
CVS Pharmacy #06690
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
501 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1048
(512) 310-8791
(401) 770-7108
Mailing address
1 CVS DR, BOX 1075- PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4547569
NCPDP #
—
05
—
466478
—
TX
Enumeration date
02/11/2008
Last updated
02/23/2015
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