Organization · NPI-2

Arizona Cvs Stores LLC

Pharmacy · Peoria, AZ

NPI number1134549181
StatusActive
Last updated in NPPESSep 8, 2014

Details

NPI
1134549181
Entity type
Organization (NPI-2)
Legal business name
Arizona Cvs Stores LLC
Organization subpart
No
Enumeration date
Apr 17, 2014
Last updated
Sep 8, 2014

Taxonomy and licenses

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

Other names

  • Cvs Pharmacy #08952 (Doing Business As)

Practice location

24865 N Lake Pleasant Parkway
Peoria, AZ 85383-1280

Phone 623-566-1110

Mailing address

1 Cvs Dr
Box 1075 Pharmacy Enrollments
Woonsocket, RI 02895-6146

Phone 401-765-1500

Authorized official

Susan Colbert
Director Payer Relations
4017702751

Is something wrong?

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