MEDICARE: OHIO 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
1	3336C0003X	Community/Retail Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy	2695850	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3656533	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1730282559
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO 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	:

Provider Business Practice Location Address
First Line	:	27120 BAGLEY RD
Second Line	:
City	:	OLMSTED TWP
State	:	OH
Zip	:	44138-1062
Country	:	US
Telephone Number	:	440-235-1600
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SUSAN COLBERT
Credential	:
Telephone Number	:	401-765-1500

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	04/30/2015

Similar Medicare Providers

1881298503 — NICHOLAS BETKA PHARMACIST
Practice Location Address:

27120 BAGLEY RD
OLMSTED TWP, OH
44138-1062

Practice Phone: 440-235-1600
Practice Fax:

1659976421 — CELINE MARIE RAIBLE PHARMD
Practice Location Address:

27120 BAGLEY RD
OLMSTED TWP, OH
44138-1062

Practice Phone: 440-235-1600
Practice Fax:

1285398537 — OMAR ASHHAB RPH
Practice Location Address:

27120 BAGLEY RD
OLMSTED TWP, OH
44138-1062

Practice Phone: 440-235-1600
Practice Fax:

1801751367 — ROSEANN WEGEN
Practice Location Address:

8563 STEARNS RD
OLMSTED TWP, OH
44138-1738

Practice Phone: 216-333-6930
Practice Fax:

1467655944 — ELIZA JENNINGS SERVICES CORPORATION
Practice Location Address:

26376 JOHN RD
OLMSTED TWP, OH
44138-1277

Practice Phone: 440-235-8592
Practice Fax:

1831142199 — OLMSTED TOWNSHIP BOARD OF TRUSTEES
Practice Location Address:

26900 COOK RD
OLMSTED TWP, OH
44138-1194

Practice Phone: 440-235-3099
Practice Fax: 440-235-3778

Directions to “OHIO CVS STORES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.