Organization · NPI-2

New Jersey Cvs Pharmacy LLC

Pharmacy · Fair Lawn, NJ

NPI number1215010848
StatusActive
Last updated in NPPESMar 7, 2012

Details

NPI
1215010848
Entity type
Organization (NPI-2)
Legal business name
New Jersey Cvs Pharmacy LLC
Organization subpart
No
Enumeration date
Oct 24, 2006
Last updated
Mar 7, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X PharmacyRS02791NJYes
3336C0003X Pharmacy, Community/Retail Pharmacy––
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Cvs Pharmacy 00251 (Doing Business As)

Practice location

24-12 Fair Lawn Ave
Fair Lawn, NJ 07410-3401

Phone 201-797-7500

Mailing address

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

Authorized official

Susan Colbert
Director
4017651500

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