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NPI Code Detail

MEDICARE: CVS PHARMACY INC

MEDICARE: CVS PHARMACY INC
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 SuppliesTX
23336C0003XCommunity/Retail Pharmacy
3333600000XPharmacy24599TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14507755OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508963000
Entity Type Code : Organization
Provider Name (Legal Business Name) : CVS PHARMACY INC
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 : 2402 GUADALUPE ST
Second Line : UNIT B
City : AUSTIN
State : TX
Zip : 78705-3721
Country : US
Telephone Number : 512-474-2323
Fax Number : 512-474-6508
Authorized Official
Title or Position : DIRECTOR, PAYER RELATIONS
Name : SUSAN COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 09/20/2006
Last Update Date : 08/17/2021

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Directions to “CVS PHARMACY INC ” Practice Location

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