Organization · NPI-2
Arizona Cvs Stores LLC
Pharmacy · Peoria, AZ
NPI number1669413589
StatusActive
Last updated in NPPESApr 30, 2019
Details
- NPI
- 1669413589
- Entity type
- Organization (NPI-2)
- Legal business name
- Arizona Cvs Stores LLC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2006
- Last updated
- Apr 30, 2019
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 09237 (Doing Business As)
Practice location
9856 W Peoria AvePeoria, AZ 85345-6110
Phone 623-977-8260
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Authorized official
Susan F Colbert
Director Pharmacy Enrollments
4017702751
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