Organization · Type 2 NPI

Georgia CVS Pharmacy LLC

Pharmacy · Gainesville, GA

NPI number 1780787200 Active

Practice location

103 Jesse Jewel Pkwy SW
Gainesville, GA 30501-4321

Call (770) 536-3441 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	004074 (GA)
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: 1780787200
Entity type: Organization (Type 2)
Issued: Sep 7, 2006
Last updated: Apr 21, 2022
Status: Active

Other names

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CVS Pharmacy #04507 · doing business as
CVS Pharmacy #04507 · 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 1780787200

Georgia CVS Pharmacy LLC's National Provider Identifier is 1780787200, issued on Sep 7, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Gainesville, GA. The record was last updated on Apr 21, 2022.