Organization · NPI-2
Cvs Albany LLC
Pharmacy · Valley Stream, NY
NPI number1114020948
StatusActive
Last updated in NPPESOct 21, 2011
Details
- NPI
- 1114020948
- Entity type
- Organization (NPI-2)
- Legal business name
- Cvs Albany LLC
- Organization subpart
- No
- Enumeration date
- Sep 7, 2006
- Last updated
- Oct 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 22736 | NY | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cvs Pharmacy #05370 (Doing Business As)
Practice location
1 E Merrick RdValley Stream, NY 11580-5814
Phone 516-568-0595
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan F Colbert
Director, Payer Relations
4017702751
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