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NPI Code Detail

MEDICARE: ALABAMA CVS PHARMACY, L.L.C.

MEDICARE: ALABAMA 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 Supplies
23336C0003XCommunity/Retail Pharmacy
3333600000XPharmacy110843AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00754161OTHERMEDICARE RR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31144323874OTHERALDME
40117007OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144323874
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALABAMA CVS PHARMACY, L.L.C.
Provider Business Mailing Address
First Line : 1 CVS DR
Second Line : BOX 1075
City : WOONSOCKET
State : RI
Zip : 02895-6146
Country : US
Telephone Number : 401-765-1500
Fax Number : 401-735-1080
Provider Business Practice Location Address
First Line : 3190 ZELDA RD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36106-2692
Country : US
Telephone Number : 334-261-1071
Fax Number : 331-261-6551
Authorized Official
Title or Position : SR. DIRECTOR-PAYER RELATIONS
Name : SUSAN F COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 09/07/2006
Last Update Date : 02/27/2024

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

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