Organization · NPI-2

Connecticut Cvs Pharmacy LLC

Pharmacy · Farmington, CT

NPI number1922103779
StatusActive
Last updated in NPPESOct 27, 2014

Details

NPI
1922103779
Entity type
Organization (NPI-2)
Legal business name
Connecticut Cvs Pharmacy LLC
Organization subpart
No
Enumeration date
Sep 14, 2006
Last updated
Oct 27, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy1544CTYes
3336C0003X Pharmacy, Community/Retail Pharmacy––
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Cvs Pharmacy #00145 (Doing Business As)

Practice location

330 Main St
Farmington, CT 06032-2961

Phone 860-677-5047

Mailing address

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

Phone 401-765-1500

Authorized official

Susan F Colbert
Director, Payer Relations
4017651500

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