Organization
GEORGIA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY 04255
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
3012 HARTLEY BRIDGE RD, MACON, GA 31216-5728
(478) 785-8464
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
007801
GA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1140780
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00814032
MEDICARE RR
—
Enumeration date
09/07/2006
Last updated
10/21/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us