Organization · Type 2 NPI

Woodward Detroit CVS LLC

Pharmacy · Grand Rapids, MI

NPI number 1710086012 Active

Practice location

727 28th St SE
Grand Rapids, MI 49548-1303

Call (616) 514-5602 Map

Mailing address

1 Cvs Dr, PO Box 1075
Woonsocket, RI 02895-6146

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	5301-007257 (MI)
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…

6 other providers at this address

Other pharmacy providers in Grand Rapids

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NPI record

NPI: 1710086012
Entity type: Organization (Type 2)
Issued: Sep 22, 2006
Last updated: Jan 19, 2023
Status: Active

Other names

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CVS Pharmacy #08291 · doing business as
CVS Pharmacy #08291 · doing business as

Authorized official

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

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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 1710086012

Woodward Detroit CVS LLC's National Provider Identifier is 1710086012, issued on Sep 22, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 19, 2023.