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NPI Code Detail

MEDICARE: WARM SPRINGS ROAD CVS LLC

MEDICARE: WARM SPRINGS ROAD CVS LLC
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
3333600000XPharmacyPH01674NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12985197OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1194824409
Entity Type Code : Organization
Provider Name (Legal Business Name) : WARM SPRINGS ROAD CVS LLC
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 :
Provider Business Practice Location Address
First Line : 1825 E WARM SPRINGS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-4547
Country : US
Telephone Number : 702-361-6581
Fax Number :
Authorized Official
Title or Position : DIRECTOR, PAYER RELATIONS
Name : SUSAN COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 09/22/2006
Last Update Date : 02/19/2013

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