New Jersey Cvs Pharmacy LLC
Pharmacy in Blackwood, NJ. Organization (NPI-2).
NPI number1033201637
StatusActive
Last updated in NPPESMar 6, 2012
Details
- NPI
- 1033201637
- Entity type
- Organization (NPI-2)
- Legal business name
- New Jersey Cvs Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Sep 29, 2006
- Last updated
- Mar 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 5563 | NJ | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cvs Pharmacy 02196 (Doing Business As)
Practice location
701 College DrBlackwood, NJ 08012-3239
Phone 856-401-1192
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Authorized official
Susan Colbert
Director
4017651500
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