Pennsylvania Cvs Pharmacy, L.L.C.

Pharmacy in Harrisburg, PA. Organization (NPI-2).

NPI number1215035837

StatusActive

Last updated in NPPESMar 9, 2012

Details

NPI: 1215035837
Entity type: Organization (NPI-2)
Legal business name: Pennsylvania Cvs Pharmacy, L.L.C.
Organization subpart: No
Enumeration date: Sep 20, 2006
Last updated: Mar 9, 2012

Medicare and OIG

Medicare enrolled (PECOS): Yes · DME SUPPLIER - PHARMACY
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
333600000X	Pharmacy	PP414235L	PA	Yes
3336C0003X	Pharmacy, Community/Retail Pharmacy	–	–
332B00000X	Durable Medical Equipment & Medical Supplies	–	–

Other names

Cvs Pharmacy #01917 (Doing Business As)

Practice location

6007 Allentown Blvd Paxtox Square
Harrisburg, PA 17112

Phone 717-540-5893

Mailing address

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

Authorized official

Susan Colbert
Dir Phcy Enrollments
4017702751

Is something wrong?

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Other Pharmacy providers in Harrisburg, PA

All 12 Pharmacy providers in Harrisburg · All 5,308 providers in Harrisburg

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