Organization · NPI-2

Carecenter Pharmacy LLC

Pharmacy · Newport News, VA

NPI number1396102133

StatusActive

Last updated in NPPESAug 30, 2016

Details

NPI: 1396102133
Entity type: Organization (NPI-2)
Legal business name: Carecenter Pharmacy LLC
Organization subpart: No
Enumeration date: Jan 25, 2016
Last updated: Aug 30, 2016

Taxonomy and licenses

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

Other names

Careplus Cvs/Pharmacy # 10922 (Doing Business As)

Practice location

4500 Washington Ave
Newport News, VA 23607-2530

Phone 757-928-0860

Mailing address

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

Phone 401-765-1500 · Fax 401-770-7108

Authorized official

Susan Colbert
Sr. Director, Payer Relations
4017702751

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