Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS Pharmacy #16212
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
200 VINTAGE WAY, NOVATO, CA 94945-5005
(415) 895-3103
(415) 878-7340
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PHY54245
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962424754
—
CA
01
—
1997908
PK
—
Enumeration date
07/24/2006
Last updated
08/01/2017
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