Organization
DISTRICT OF COLUMBIA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #10415
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
800 MAINE AVE, SW, WASHINGTON, DC 20024
(202) 488-1428
(202) 558-4704
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0905399
NCPDP
—
Enumeration date
08/23/2017
Last updated
10/03/2017
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