Organization
UTAH CVS PHARMACY, L.L.C.
Active
Other names
CVSPHARMACY #10618
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR-PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
5326 W 11000 N, HIGHLAND, UT 84003-9544
(801) 763-9786
Mailing address
BOX 1075, ONE CVS DRIVE, 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
—
1952783516
—
UT
01
—
4613243
NCPDP
UT
Enumeration date
06/19/2015
Last updated
10/07/2015
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