Organization · NPI-2

Georgia Cvs Pharmacy, L.L.C.

Pharmacy · Mableton, GA

NPI number1093819922
StatusActive
Last updated in NPPESMar 5, 2012

Details

NPI
1093819922
Entity type
Organization (NPI-2)
Legal business name
Georgia Cvs Pharmacy, L.L.C.
Organization subpart
No
Enumeration date
Sep 12, 2006
Last updated
Mar 5, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy008177GAYes
3336C0003X Pharmacy, Community/Retail Pharmacy––
332B00000X Durable Medical Equipment & Medical Supplies–GA

Other names

  • Cvs Pharmacy #02187 (Doing Business As)

Practice location

5846 Mableton Pkwy Se # 5856
Mableton, GA 30126-3471

Phone 770-745-3171

Mailing address

1 Cvs Dr
Po Box 1075
Woonsocket, RI 02895-6146

Phone 401-765-1500

Authorized official

Susan Colbert
Director, Payer Relations
4017702751

Is something wrong?

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