Organization · Type 2 NPI

Washington CVS Pharmacy LLC

Pharmacy · Blaine, WA

NPI number 1093824302 Active

Practice location

1195 Boblett Street
Blaine, WA 98230-5157

Call (360) 332-1616 Map

Mailing address

1 Cvs Dr
Woonsocket, RI 02895-6146

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	262010404194 (WA)

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

NPI record

NPI: 1093824302
Entity type: Organization (Type 2)
Issued: Aug 30, 2006
Last updated: Sep 30, 2025
Status: Active

Other names

<unavail>
CVS Pharmacy #11633 · doing business as
Rite Aid Pharmacy 05241 · doing business as

Authorized official

Susan F Colbert
Sr. Director, Payer Relations
(401) 770-2751

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1093824302

Washington CVS Pharmacy LLC's National Provider Identifier is 1093824302, issued on Aug 30, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Blaine, WA. The record was last updated on Sep 30, 2025.