Organization
GARFIELD BEACH CVS, L.L.C.
Active
Other names
CVS PHARMACY # 03553
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
21590 E VALLEY BLVD, CITY OF INDUSTRY, CA 91789-5241
(909) 444-7807
Mailing address
ONE CVS DR, BOX 1075, WOONSOCKET, RI 02895
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PHY49786
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942452834
—
CA
01
—
5632561
NCPDP
—
Enumeration date
10/22/2008
Last updated
08/25/2011
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