Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY #08816
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
11950 DEPALMA RD, CORONA, CA 92883
(951) 603-0855
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
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952553844
—
CA
01
—
5632573
NCPDP - OTHER COMMERCIAL IDENTIFIER
—
Enumeration date
10/22/2008
Last updated
08/24/2011
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