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NPI Code Detail

MEDICARE: GARFIELD BEACH CVS LLC

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
13336C0003XCommunity/Retail Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
3333600000XPharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15620415OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1477598472
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 : 401-765-1500
Fax Number :
Provider Business Practice Location Address
First Line : 1401 S BALDWIN AVE
Second Line :
City : ARCADIA
State : CA
Zip : 91007-7922
Country : US
Telephone Number : 626-445-1284
Fax Number :
Authorized Official
Title or Position : DIRECTOR PAYER RELATIONS
Name : SUSAN COLBERT
Credential :
Telephone Number : 401-770-2721
Provider Enumeration Date : 06/17/2006
Last Update Date : 06/02/2014

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