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NPI Code Detail

MEDICARE: GERMAN DOBSON CVS LLC

MEDICARE: GERMAN DOBSON 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
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy
3333600000XPharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10355431OTHERAZNCPDP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275795007
Entity Type Code : Organization
Provider Name (Legal Business Name) : GERMAN DOBSON 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 : 401-735-1080
Provider Business Practice Location Address
First Line : 1625 N 44TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-4114
Country : US
Telephone Number : 602-275-0120
Fax Number : 401-735-1080
Authorized Official
Title or Position : SR. DIRECTOR, PAYER RELATIONS
Name : SUSAN F COLBERT
Credential :
Telephone Number : 800-746-7287
Provider Enumeration Date : 07/02/2008
Last Update Date : 04/03/2024

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Directions to “GERMAN DOBSON CVS LLC ” Practice Location

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