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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
23336C0003XCommunity/Retail Pharmacy
3333600000XPharmacy

General Provider Information

NPI Number : 1750490066
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 : 101 NORTH ELY STREET
Second Line : HIGHLANDS CENTER
City : KENNEWICK
State : WA
Zip : 99336-2941
Country : US
Telephone Number : 509-783-1438
Fax Number :
Authorized Official
Title or Position : SR. DIRECTOR, PAYER RELATIONS
Name : SUSAN F COLBERT
Credential :
Telephone Number : 401-765-1500
Provider Enumeration Date : 08/30/2006
Last Update Date : 08/15/2025

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