Organization
CVS PHARMACY INC.
Active
Other names
CVS Pharmacy #
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1629 N TOWN EAST BLVD, MESQUITE, TX 75150-4105
(214) 302-2961
(214) 302-2971
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121672
PK
—
Enumeration date
08/25/2009
Last updated
08/25/2016
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