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Organization

NEW JERSEY CVS PHARMACY LLC

Active
Other names
CVS PHARMACY 00477
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization

Contact information

Practice address
7 SOUTH BLACK HORSE PIKE, MOUNT EPHRAIM, NJ 08059
(856) 931-6262
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
RS03249
NJ
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103222874001
PA
01
3123899
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
10/24/2006
Last updated
12/02/2016
About Stedi
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