Organization · NPI-2
New Jersey Cvs Pharmacy LLC
Pharmacy · Edgewater, NJ
NPI number1659393262
StatusActive
Last updated in NPPESAug 15, 2016
Details
- NPI
- 1659393262
- Entity type
- Organization (NPI-2)
- Legal business name
- New Jersey Cvs Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Jul 24, 2006
- Last updated
- Aug 15, 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
- Cvs Pharmacy #16610 (Doing Business As)
Practice location
543 River RdEdgewater, NJ 07020-1146
Phone 201-402-0253 · Fax 201-402-0253
Mailing address
1 Cvs DrMail Code 1090
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan Colbert
Sr. Director, Payer Relations
4017702751
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.