Legal Business Name
Oklahoma Cvs Pharmacy Llc
Also Known As
Cvs Pharmacy #16004
NPI Number
1588686299
NPI Type
Organization
Enumeration Date
07/24/2006
Specialties
(Taxonomies)Code
333600000X
3336C0003X
332B00000X
Primary Taxonomy
Yes
No
No
Licenses
State
Oklahoma
License Number
2-7613
Contact
Information
Purpose
Mailing
Location
Address
1 CVS DR
1701 S YALE AVE
City
Woonsocket
Tulsa
State
RI
OK
Postal Code
02895-6146
74112-6221
Country
US
US
Telephone Number
(401) 765-1500
(918) 293-0196
Authorized Official
Name
Susan Colbert
Title or Position
SR. DIRECTOR, PAYER RELATIONS
Telephone Number
(401) 770-2751
Identifiers
Identifier
2076204
Identifier State
Unknown
Identifier Issuer
PK
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/08/2016
Provider Address
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