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NPI Code Detail

MEDICARE: CVS PHARMACY INC

MEDICARE: CVS PHARMACY INC
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
13336C0003XCommunity/Retail Pharmacy
2332B00000XDurable Medical Equipment & Medical SuppliesTX
3333600000XPharmacy24579TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24505799OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1922102730
Entity Type Code : Organization
Provider Name (Legal Business Name) : CVS PHARMACY INC
Provider Business Mailing Address
First Line : 1 CVS DR
Second Line : PO 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 : 614 W HENDERSON ST
Second Line :
City : CLEBURNE
State : TX
Zip : 76033-4848
Country : US
Telephone Number : 817-645-2419
Fax Number : 817-645-0157
Authorized Official
Title or Position : DIRECTOR, PAYER RELATIONS
Name : SUSAN COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 09/12/2006
Last Update Date : 10/06/2011

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Directions to “CVS PHARMACY INC ” Practice Location

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