Organization · NPI-2
Garfield Beach Cvs, L.L.C
Pharmacy · Yorba Linda, CA
NPI number1699480079
StatusActive
Last updated in NPPESJan 19, 2023
Details
- NPI
- 1699480079
- Entity type
- Organization (NPI-2)
- Legal business name
- Garfield Beach Cvs, L.L.C
- Organization subpart
- No
- Enumeration date
- Jan 19, 2023
- Certification date
- Jan 13, 2023
- Last updated
- Jan 19, 2023
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 #17883 (Doing Business As)
Practice location
17506 Yorba Linda BlvdYorba Linda, CA 92886-3825
Phone 401-765-1500
Mailing address
1 Cvs Dr # 1075Woonsocket, RI 02895-6195
Phone 401-770-6101
Authorized official
Susan F Colbert
Director
4017702751
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