Organization · Type 2 NPI

Pennsylvania CVS Pharmacy, L.l.c.

Pharmacy · Wilkes-Barre, PA

NPI number 1942304787 Active

Practice location

702 Sans Souci
Wilkes-Barre, PA 18706-5489

Call (717) 825-9811 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	PP413796L (PA)
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…

NPI record

NPI: 1942304787
Entity type: Organization (Type 2)
Issued: Sep 12, 2006
Last updated: Jun 21, 2021
Status: Active

Other names

<unavail>
CVS Pharmacy#01614 · doing business as
CVS Pharmacy#01614 · doing business as

Authorized official

Susan Colbert
Director, Payer Relations
(401) 770-2804

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.

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About NPI 1942304787

Pennsylvania CVS Pharmacy, L.l.c.'s National Provider Identifier is 1942304787, issued on Sep 12, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Wilkes-Barre, PA. The record was last updated on Jun 21, 2021.