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NPI Code Detail

MEDICARE: ARIZONA CVS STORES LLC

MEDICARE: ARIZONA CVS STORES 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
3333600000XPharmacyY03679AZ

General Provider Information

NPI Number : 1669576559
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIZONA CVS STORES 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 : 2840 N DYSART RD
Second Line :
City : GOODYEAR
State : AZ
Zip : 85395-2338
Country : US
Telephone Number : 623-536-5310
Fax Number :
Authorized Official
Title or Position : SR. DIRECTOR, PAYER RELATIONS
Name : SUSAN F COLBERT
Credential :
Telephone Number : 800-746-7287
Provider Enumeration Date : 09/12/2006
Last Update Date : 01/14/2026

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Directions to “ARIZONA CVS STORES LLC ” Practice Location

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