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NPI Code Detail

MEDICARE: CVS PHARMACY INC

MEDICARE: CVS PHARMACY INC
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
13336C0003XCommunity/Retail Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
3333600000XPharmacy

General Provider Information

NPI Number : 1477183275
Entity Type Code : Organization
Provider Name (Legal Business Name) : CVS PHARMACY INC
Provider Business Mailing Address
First Line : 1 CVS DR # 1075
Second Line :
City : WOONSOCKET
State : RI
Zip : 02895-6146
Country : US
Telephone Number : 401-765-1500
Fax Number :
Provider Business Practice Location Address
First Line : 4005 E 8TH PL
Second Line :
City : DENVER
State : CO
Zip : 80220-3942
Country : US
Telephone Number : 303-739-3969
Fax Number : 303-800-7516
Authorized Official
Title or Position : SR. DIRECTOR, PAYER RELATIONS
Name : SUSAN F COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 01/21/2020
Last Update Date : 03/19/2020

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