Provider Information for 1700808599
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GARFIELD BEACH CVS LLC
Other Names:Doing Business As:CVS PHARMACY #16473Organization Subpart: NO
NPI: 1700808599
Last Updated: 2017-06-15
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Details
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NPI | 1700808599 | ||||||||||||||||
Enumeration Date | 2006-07-24 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
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 | 2700 BELL RD AUBURN, CA 95603-2508 United States Phone: 530-889-2766 | Fax:530-889-2766 | ||||||||||||||||
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