Organization

Oklahoma Cvs Pharmacy Llc

May also be knows as Cvs Pharmacy #07972

Pharmacy in Tulsa, OK(View on Map)

Legal Business Name

Oklahoma Cvs Pharmacy Llc

Also Known As

Cvs Pharmacy #07972

NPI Number

1720302136

NPI Type

Organization

Enumeration Date

03/15/2010

Specialties

(Taxonomies)

Code

333600000X
3336C0003X
332B00000X

Primary Taxonomy

Yes
No
No

Contact
Information

Purpose

Mailing
Location

Address

1 CVS DR
4107 S HARVARD AVE

City

Woonsocket
Tulsa

State

RI
OK

Postal Code

02895-6146
74135-2601

Country

US
US

Telephone Number

(401) 765-1500
(918) 747-6690

Authorized Official

Name

Susan Colbert

Title or Position

DIRECTOR, PAYER RELATIONS

Telephone Number

(401) 770-2751

Identifiers

Identifier

200289490A
3726126
200289490B

Identifier State

OK
Unknown
OK

Identifier Issuer

MEDICAID DME
NCPDP
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/08/2010

Provider Address

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