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NPI 1689781353

NPI 1689781353 : WASHINGTON CVS PHARMACY LLC : SAMMAMISH, WA

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General NPI Number Information
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    NPI Number           |    1689781353
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    Entity Type          |    Organization 
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    Legal Business Name  |    WASHINGTON CVS PHARMACY LLC 
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Dates
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    Enumeration Date     |    08/25/2006
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    Last Update Date     |    07/24/2025
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Provider Practice Location Address
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    Address Line         |    526 228TH AVE NE 
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    City                 |    SAMMAMISH
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    State                |    WA
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    Zip                  |    98074-7226
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    Country              |    US
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    Telephone            |    425-868-1112
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    Fax                  |    425-868-0170
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Provider Business Mailing Address
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    Address Line         |    1 CVS DR 
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    City                 |    WOONSOCKET
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    State                |    RI
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    Zip                  |    02895-6146
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SR. DIRECTOR, PAYER RELATIONS
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    Name                 |     SUSAN F COLBERT 
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    Credential           |    
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    Telephone            |    401-765-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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