Georgia Cvs Pharmacy, L.L.C.
Pharmacy in Roswell, GA. Organization (NPI-2).
NPI number1215031158
StatusActive
Last updated in NPPESMar 6, 2012
Details
- NPI
- 1215031158
- 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 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 8681 | GA | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cvs Pharmacy #03125 (Doing Business As)
Practice location
895 Holcomb Bridge RdRoswell, GA 30076-1954
Phone 770-993-0194
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Authorized official
Susan F Colbert
Director, Payer Relations
4017702751
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