Organization
DELAWARE CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 03231
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR- PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
36252 LIGHTHOUSE ROAD, SELBYVILLE, DE 19975-3912
(302) 436-6411
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
—
DE
333600000X
Pharmacy
Primary
—
DE
3336C0003X
Community/Retail Pharmacy
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0845567
NCPDP
DE
01
—
1972904670
DME
DE
05
—
1972904670
—
DE
Enumeration date
09/12/2014
Last updated
07/17/2015
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