Organization
OREGON CVS PHARMACY LLC
Active
Other names
RITE AID PHARMACY 04064, CVS Pharmacy #11669
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
17495 SOUTHWEST FARMINGTON ROAD, ALOHA, OR 97007-3212
(503) 848-7700
Mailing address
1 CVS DR, 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
NPA0008012
OR
Other
Enumeration date
05/11/2007
Last updated
09/09/2025
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