National Provider Identifier Database

CONNECTICUT CVS PHARMACY LLC
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 located.


Contact Information

CONNECTICUT CVS PHARMACY LLC
644 W. PUTNAM AVENUE
GREENWICH, CT06830
Phone: 203-422-2022
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for CONNECTICUT CVS PHARMACY LLC

NPI Number 1730457037
Legal business name
LBN
CONNECTICUT CVS PHARMACY LLC
Authorized official SUSAN COLBERT - (DIRECTOR, PAYER RELATIONS)
Entity Organization
Organization subpart No
Enumeration date 12/01/2011
Last updated 02/10/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • CT Medicaid: 008036950
  • Other: 0722644 NCPDP
  • CT Other: 008039225 DME

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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