Organization · NPI-2

New Jersey Cvs Pharmacy LLC

Pharmacy · Fair Lawn, NJ

NPI number1619069341
StatusActive
Last updated in NPPESDec 2, 2014

Details

NPI
1619069341
Entity type
Organization (NPI-2)
Legal business name
New Jersey Cvs Pharmacy LLC
Organization subpart
No
Enumeration date
Sep 29, 2006
Last updated
Dec 2, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X PharmacyRS005342NJYes
3336C0003X Pharmacy, Community/Retail Pharmacy––
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Cvs Pharmacy 02093 (Doing Business As)

Practice location

18-35 River Rd
Fair Lawn, NJ 07410-1244

Phone 201-423-3999

Mailing address

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

Authorized official

Susan Colbert
Director
4017651500

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