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NPI Code Detail

MEDICARE: WASHINGTON CVS PHARMACY LLC

MEDICARE: WASHINGTON CVS PHARMACY 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
2333600000XPharmacy

General Provider Information

NPI Number : 1689781353
Entity Type Code : Organization
Provider Name (Legal Business Name) : WASHINGTON CVS PHARMACY LLC
Provider Business Mailing Address
First Line : 1 CVS DR
Second Line :
City : WOONSOCKET
State : RI
Zip : 02895-6146
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 526 228TH AVE NE
Second Line :
City : SAMMAMISH
State : WA
Zip : 98074-7226
Country : US
Telephone Number : 425-868-1112
Fax Number : 425-868-0170
Authorized Official
Title or Position : SR. DIRECTOR, PAYER RELATIONS
Name : SUSAN F COLBERT
Credential :
Telephone Number : 401-765-1500
Provider Enumeration Date : 08/25/2006
Last Update Date : 07/24/2025

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Directions to “WASHINGTON CVS PHARMACY LLC ” Practice Location

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