Garfield Beach Cvs LLC
Pharmacy in Lodi, CA. Organization (NPI-2).
NPI number1992728299
StatusActive
Last updated in NPPESJun 2, 2017
Details
- NPI
- 1992728299
- Entity type
- Organization (NPI-2)
- Legal business name
- Garfield Beach Cvs LLC
- Organization subpart
- No
- Enumeration date
- Jul 26, 2006
- Last updated
- Jun 2, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY54008 | CA |
Other names
- Cvs Pharmacy #16294 (Doing Business As)
Practice location
2355 W Kettleman LnLodi, CA 95242-4120
Phone 209-339-0232 · Fax 209-371-2071
Mailing address
1 Cvs DrBox 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan Colbert
Sr. Director, Payer Relations
4017702751
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All 7 Pharmacy providers in Lodi · All 1,321 providers in Lodi
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