Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY #04471
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
600 STATE ST, SPRINGFIELD, MA 01109-4104
(413) 736-0351
Mailing address
1 CVS DRIVE, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3500
MA
333600000X
Pharmacy
Primary
3500
MA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0422592
—
MA
Enumeration date
01/31/2007
Last updated
10/14/2011
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