Organization · Type 2 NPI

Garfield Beach Cvs, L.l.c.

Pharmacy · San Diego, CA

NPI number 1174304372 Active

Practice location

4301 Park Blvd
San Diego, CA 92103

Call (401) 765-1500 Map

Mailing address

1 Cvs Dr, Box 1075
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	None listed

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…

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NPI record

NPI: 1174304372
Entity type: Organization (Type 2)
Issued: Oct 12, 2023
Last updated: Mar 18, 2024
Status: Active

Other names

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CVS Pharmacy #11363 · doing business as
CVS Pharmacy #11363 · doing business as

Authorized official

Susan F Colbert
Sr. Director, Payer Relations
(401) 765-1500

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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.

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About NPI 1174304372

Garfield Beach Cvs, L.l.c.'s National Provider Identifier is 1174304372, issued on Oct 12, 2023. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in San Diego, CA. The record was last updated on Mar 18, 2024.