Organization
GARFIELD BEACH CVS, L.L.C.
Active
Other names
CVS Pharmacy #02768
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
6500 S UNION AVE, BAKERSFIELD, CA 93307
(661) 835-8371
Mailing address
1 CVS DR, BOX 1075 - PHARMACY ENROLLMENTS, 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
05
—
1992937031
—
CA
01
—
5635606
NCPDP
—
Enumeration date
08/21/2009
Last updated
08/24/2011
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