Organization
CVS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR DIRECTOR)
(401) 770-2751
Entity
Organization
Contact information
Practice address
5305 MONTANA AVE, EL PASO, TX 79903-4907
(915) 772-2824
Mailing address
1 CVS DR # 1075, WOONSOCKET, RI 02895-6146
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
01
—
5922910
NCPDP
TX
Enumeration date
11/22/2017
Last updated
02/19/2018
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