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NPI Code Detail

MEDICARE: RHODE ISLAND CVS PHARMACY, L.L.C.

MEDICARE: RHODE ISLAND CVS PHARMACY, L.L.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical SuppliesRI
23336C0003XCommunity/Retail Pharmacy
3333600000XPharmacy00193RI

General Provider Information

NPI Number : 1467556266
Entity Type Code : Organization
Provider Name (Legal Business Name) : RHODE ISLAND CVS PHARMACY, L.L.C.
Provider Business Mailing Address
First Line : 1 CVS DR
Second Line : PO BOX 1075
City : WOONSOCKET
State : RI
Zip : 02895-6146
Country : US
Telephone Number : 401-765-1500
Fax Number :
Provider Business Practice Location Address
First Line : 2125 DIAMOND HILL RD
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-5134
Country : US
Telephone Number : 401-335-4563
Fax Number :
Authorized Official
Title or Position : SR. DIRECTOR,PAYER RELATIONS
Name : SUSAN COLBERT
Credential :
Telephone Number : 401-765-1500
Provider Enumeration Date : 09/12/2006
Last Update Date : 09/15/2023

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Directions to “RHODE ISLAND CVS PHARMACY, L.L.C. ” Practice Location

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