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Provider Information for 1831271071


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CVS PHARMACY INC.

Other Names:  
Doing Business As: 
CVS PHARMACY #17247

Organization Subpart: NO

NPI: 1831271071
Last Updated: 2016-11-10
Certification Date:

Details

NameValue
NPI1831271071
Enumeration Date2006-10-19
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: SUSAN COLBERT
Title: Sr. Director, Payer Relations
Phone: 4017702751
Mailing Address 1 CVS DR
BOX 1075
WOONSOCKET, RI 02895-6146
United States

Phone: 401-765-1500 | Fax:
 
Primary Practice Address 479 STATE RD
NORTH DARTMOUTH, MA 02747-4309
United States

Phone: 508-979-7531 | Fax:508-979-7536
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)2039590PK
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 332B00000X - Durable Medical Equipment & Medical Supplies
No 3336C0003X - Pharmacy - Community/Retail PharmacyMADS89997
Yes 333600000X - Pharmacy