Organization · NPI-2
Ohio Cvs Stores LLC
Pharmacy, Community/Retail Pharmacy · Beavercreek, OH
NPI number1023030731
StatusActive
Last updated in NPPESAug 25, 2016
Details
- NPI
- 1023030731
- Entity type
- Organization (NPI-2)
- Legal business name
- Ohio Cvs Stores LLC
- Organization subpart
- No
- Enumeration date
- Jul 24, 2006
- Last updated
- Aug 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | RTPC.022570600-03 | OH | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Cvs Pharmacy # (Doing Business As)
Practice location
2490 N Fairfield RdBeavercreek, OH 45431-1787
Phone 937-431-8672 · Fax 937-306-4594
Mailing address
1 Cvs DrBox 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan Colbert
Sr. Director, Payer Relations
4017702751
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