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NPI Code Detail

MEDICARE: GERMAN DOBSON CVS, L.L.C.

MEDICARE: GERMAN DOBSON CVS, 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
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy
3333600000XPharmacy3814AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10328458OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2P00959043OTHERRR PTAN

General Provider Information

NPI Number : 1649374539
Entity Type Code : Organization
Provider Name (Legal Business Name) : GERMAN DOBSON CVS, L.L.C.
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 : 9152 E BROWN RD
Second Line :
City : MESA
State : AZ
Zip : 85207-4339
Country : US
Telephone Number : 480-357-4833
Fax Number :
Authorized Official
Title or Position : SR DIRECTOR, PAYER RELATIONS
Name : SUSAN COLBERT
Credential :
Telephone Number : 800-746-7287
Provider Enumeration Date : 09/12/2006
Last Update Date : 04/08/2024

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