Organization
GARFIELD BEACH CVS LLC
Active
Other names
CVS PHARMACY #06705
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
316 PACIFIC COAST HIGHWAY, REDONDO BEACH, CA 90277
(310) 540-9183
Mailing address
PO BOX 1075, ONE CVS DRIVE PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
CA
333600000X
Pharmacy
Primary
—
CA
3336C0003X
Community/Retail Pharmacy
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5630327
NCPDP - OTHER COMMERCIAL IDENTIFIER
—
Enumeration date
05/01/2008
Last updated
08/23/2011
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