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Provider Information for 1194824565


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CVS PHARMACY INC

Other Names:  
Doing Business As: 
CVS PHARMACY # 01860

Organization Subpart: NO

NPI: 1194824565
Last Updated: 2011-10-13
Certification Date:

Details

NameValue
NPI1194824565
Enumeration Date2006-09-22
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: SUSAN F COLBERT
Title: DIRECTOR, PAYER RELATIONS
Phone: 4017702751
Mailing Address 1 CVS DR
PO BOX 1075
WOONSOCKET, RI 02895-6146
United States

Phone: 401-765-1500 | Fax:
 
Primary Practice Address 101 CENTRAL ST
HOLLISTON, MA 01746-2151
United States

Phone: 508-429-5561 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)2231164Other ID Number-Commercial Number
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 3336C0003X - Pharmacy - Community/Retail Pharmacy
No 332B00000X - Durable Medical Equipment & Medical Supplies
Yes 333600000X - Pharmacy MA2079