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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
1332B00000XDurable Medical Equipment & Medical SuppliesMA
23336C0003XCommunity/Retail PharmacyMA
3333600000XPharmacyMA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12242092OTHERNCPDP - OTHER COMMERCIAL IDENTIFIER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477741221
Entity Type Code : Organization
Provider Name (Legal Business Name) : CVS PHARMACY INC
Provider Business Mailing Address
First Line : ONE CVS DRIVE
Second Line : BOX 1075 - PHARMACY ENROLLMENTS
City : WOONSOCKET
State : RI
Zip : 02895
Country : US
Telephone Number : 401-765-1500
Fax Number :
Provider Business Practice Location Address
First Line : 1 DAVIS SQ
Second Line :
City : SOMERVILLE
State : MA
Zip : 02144-2904
Country : US
Telephone Number : 617-629-4156
Fax Number :
Authorized Official
Title or Position : DIRECTOR, PAYER RELATIONS
Name : SUSAN F COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 10/05/2007
Last Update Date : 10/12/2011

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Directions to “CVS PHARMACY INC ” Practice Location

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