DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

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

MEDICARE: PENNSYLVANIA 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
13336C0003XCommunity/Retail Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
3333600000XPharmacyPP-415717-LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13978244OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1407950298
Entity Type Code : Organization
Provider Name (Legal Business Name) : PENNSYLVANIA CVS PHARMACY, L.L.C.
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 : 4314 LOCUST ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-5232
Country : US
Telephone Number : 215-386-2093
Fax Number :
Authorized Official
Title or Position : DIR PHCY ENROLLMENTS
Name : SUSAN COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 09/12/2006
Last Update Date : 08/06/2010

Similar Medicare Providers

1740119320 — DR. MICHAEL GEORGE THOMPSON PHARMD
Practice Location Address:
4314 LOCUST ST
PHILADELPHIA, PA
19104-5232
Practice Phone: 215-386-2093
Practice Fax:
1407038359 — MS. LISA MARIE AKINSKAS PHARMD, RPH
Practice Location Address:
4314 LOCUST ST
PHILADELPHIA, PA
19104-5232
Practice Phone: 215-386-2093
Practice Fax:
1336743533 — MARTHA WON AE SANDERCOCK
Practice Location Address:
4314 LOCUST ST
PHILADELPHIA, PA
19104-5232
Practice Phone: 215-386-2093
Practice Fax:
1780288746 — DEREK DAVID O'NEILL
Practice Location Address:
4314 LOCUST ST
PHILADELPHIA, PA
19104-5232
Practice Phone: 215-386-2093
Practice Fax: 215-386-9804
1346845328 — DR. YING CAI LIN PHARMD
Practice Location Address:
4314 LOCUST ST
PHILADELPHIA, PA
19104-5232
Practice Phone: 215-386-2093
Practice Fax:
1952018004 — DR. CHRISTOPHER KWOCK PHARMD
Practice Location Address:
4314 LOCUST ST
PHILADELPHIA, PA
19104-5232
Practice Phone: 215-386-2093
Practice Fax:

Directions to “PENNSYLVANIA CVS PHARMACY, L.L.C. ” 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.