CONNECTICUT CVS PHARMACY LLC; NPI #1811910110

Contact Information

CONNECTICUT CVS PHARMACY LLC

900 HARTFORDNEW LONDON TRPK
WATERFORD, CT 06385

Phone: 860-443-3171
Fax: 860-443-3171
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company

Indicates primary specialty

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NPI Profile & details for CONNECTICUT CVS PHARMACY LLC

NPI # 1811910110

LBN Legal business name CONNECTICUT CVS PHARMACY LLC

Authorized official SUSAN COLBERT - (SR. DIRECTOR, PAYER RELATIONS)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/26/2006

Last updated 10/05/2016 - About 10 years ago

Identifiers

CT	License #	1760
	Other	2002382	PK

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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