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General NPI Number Information
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NPI Number | 1891869244
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Entity Type | Organization
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Legal Business Name | GARFIELD BEACH CVS, L.L.C.
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Dates
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Enumeration Date | 11/19/2006
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 420 E 2ND ST
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City | CALEXICO
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State | CA
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Zip | 92231-2847
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Country | US
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Telephone | 760-618-7554
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Fax | 760-357-1298
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Provider Business Mailing Address
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Address Line | 1 CVS DRIVE BOX 1075
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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 | 401-765-1500
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Fax | 760-357-1298
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Authorized Official
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Title or Position | SR. DIRECTOR, PAYER RELATIONS
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Name | SUSAN COLBERT
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Credential |
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Telephone | 401-770-2751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 56157
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License Number State | CA
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