Organization
CVS PHARMACY, INC.
Active
Other names
CVS Pharmacy # 08978
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
20203 STONE OAK PKWY., SAN ANTONIO, TX 78258
(210) 481-5598
Mailing address
ONE CVS DRIVE, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
333600000X
Pharmacy
Primary
—
TX
3336C0003X
Community/Retail Pharmacy
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466700
—
TX
01
—
5900320
NCPDP
TX
Enumeration date
06/22/2010
Last updated
04/07/2011
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