Garfield Beach Cvs LLC
Pharmacy in Roseville, CA. Organization (NPI-2).
NPI number1457373151
StatusActive
Last updated in NPPESJan 19, 2017
Details
- NPI
- 1457373151
- Entity type
- Organization (NPI-2)
- Legal business name
- Garfield Beach Cvs LLC
- Organization subpart
- No
- Enumeration date
- Jul 24, 2006
- Last updated
- Jan 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY54176 | CA | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cvs Pharmacy #16833 (Doing Business As)
Practice location
10451 Fairway DrRoseville, CA 95678-1987
Phone 916-780-2898 · Fax 916-780-2898
Mailing address
1 Cvs DrBox 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan Colbert
Sr. Director, Payer Relations
4017702751
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