Organization
OKLAHOMA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY # 06006
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
6951 SE 15TH ST, MIDWEST CITY, OK 73110-2748
(405) 737-7886
(405) 733-4354
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
OK
333600000X
Pharmacy
Primary
1-5379
OK
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3702467
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
90003910205
—
OK
Enumeration date
09/12/2006
Last updated
01/12/2015
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