Organization · NPI-2
Arizona Cvs Stores LLC
Pharmacy · Peoria, AZ
NPI number1750485645
StatusActive
Last updated in NPPESJan 14, 2026
Details
- NPI
- 1750485645
- Entity type
- Organization (NPI-2)
- Legal business name
- Arizona Cvs Stores LLC
- Organization subpart
- No
- Enumeration date
- Sep 12, 2006
- Certification date
- Jan 14, 2026
- Last updated
- Jan 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | Y03680 | AZ | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Cvs Pharmacy #03745 (Doing Business As)
Practice location
10727 W Olive AvePeoria, AZ 85345-9202
Phone 623-815-8074 · Fax 401-735-1080
Mailing address
1 Cvs DrBox 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500 · Fax 401-735-1080
Authorized official
Susan Colbert
Sr. Director, Payer Relations
8007467287
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