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NPI Code Detail

MEDICARE: LOUISIANA CVS PHARMACY LLC

MEDICARE: LOUISIANA 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
23336C0003XCommunity/Retail Pharmacy
3333600000XPharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11935709OTHERNCPDP
2PHY006509RCOTHERPHARMACY STATE LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730473810
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOUISIANA CVS PHARMACY LLC
Provider Business Mailing Address
First Line : 1 CVS DR
Second Line : BOX 1075 - PHARMACY ENROLLMENTS
City : WOONSOCKET
State : RI
Zip : 02895-6146
Country : US
Telephone Number : 401-765-1500
Fax Number :
Provider Business Practice Location Address
First Line : 4401 S CLAIBORNE AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70125-5105
Country : US
Telephone Number : 504-891-7731
Fax Number :
Authorized Official
Title or Position : DIRECTOR PAYER RELATIONS
Name : SUSAN F COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 06/06/2011
Last Update Date : 03/07/2023

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