MEDICARE: GARFIELD BEACH 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
1	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5619309	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1205870557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARFIELD BEACH CVS LLC

Provider Business Mailing Address
First Line	:	1 CVS DR
Second Line	:	PO BOX 1075
City	:	WOONSOCKET
State	:	RI
Zip	:	02895-6146
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5985 W PICO BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-2652
Country	:	US
Telephone Number	:	323-965-9161
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, PAYER RELATIONS
Name	:	SUSAN F COLBERT
Credential	:
Telephone Number	:	401-770-2751

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	08/24/2011

Similar Medicare Providers

1104361013 — KAREN IRENE KOTELKO
Practice Location Address:

5985 W PICO BLVD
LOS ANGELES, CA
90035-2652

Practice Phone: 323-965-9161
Practice Fax: 323-965-9751

1871132639 — DR. SHILPA SHAJI KRISHNAN PHARMD
Practice Location Address:

5985 W PICO BLVD
LOS ANGELES, CA
90035-2652

Practice Phone: 323-965-9161
Practice Fax:

1568524452 — WON MI KIM L.AC.
Practice Location Address:

536 N SWEETZER AVE , 8
LOS ANGELES, CA
90048-2652

Practice Phone: 310-400-4473
Practice Fax:

1518183599 — DR. RISKA K. LIM D.D.S.
Practice Location Address:

1241 S SOTO ST , 117
LOS ANGELES, CA
90023-2652

Practice Phone: 323-264-2410
Practice Fax: 323-264-2241

1164793899 — RISKA K. LIM DENTAL CORPORATION
Practice Location Address:

1241 S SOTO ST , SUITE # 117
LOS ANGELES, CA
90023-2652

Practice Phone: 323-264-2410
Practice Fax: 323-264-2241

1205726502 — JOANNA COOK BLOOMER LMFT
Practice Location Address:

1138 S LA CIENEGA BLVD APT 4
LOS ANGELES, CA
90035-5901

Practice Phone: 213-709-1042
Practice Fax:

Directions to “GARFIELD BEACH CVS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.