Organization
IDAHO CVS PHARMACY LLC
Active
Other names
Rite Aid Pharmacy 05408, CVS Pharmacy #11643
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
1904 19TH AVENUE, LEWISTON CENTER, LEWISTON, ID 83501-4069
(208) 743-9127
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
ID1209CP
ID
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
ID1209CP
ID
Other
Enumeration date
07/24/2006
Last updated
09/10/2025
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