Organization
UTAH CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 10232
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
5305 S 1900 W, ROY, UT 84067-2906
(801) 825-5648
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
UT
333600000X
Pharmacy
Primary
—
UT
3336C0003X
Community/Retail Pharmacy
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952735375
—
UT
01
—
4612621
NCPDP
UT
Enumeration date
08/22/2013
Last updated
07/31/2014
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