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NPI Code Detail

MEDICARE: GARFIELD BEACH CVS LLC

MEDICARE: GARFIELD BEACH CVS 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
15620655OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1902847817
Entity Type Code : Organization
Provider Name (Legal Business Name) : GARFIELD BEACH CVS 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 :
Fax Number :
Provider Business Practice Location Address
First Line : 511 N HOLLYWOOD WAY
Second Line :
City : BURBANK
State : CA
Zip : 91505-3406
Country : US
Telephone Number : 818-841-0710
Fax Number :
Authorized Official
Title or Position : DIRECTOR PAYER RELATIONS
Name : SUSAN COLBERT
Credential :
Telephone Number : 401-770-2937
Provider Enumeration Date : 06/10/2006
Last Update Date : 08/26/2011

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Directions to “GARFIELD BEACH CVS LLC ” Practice Location

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