Georgia Cvs Pharmacy L.l.c

NPI #1578009130 in Pooler, Georgia

Provider Information

NPI Number: 1578009130
Entity Type: Organization
Organization Name: Georgia Cvs Pharmacy L.l.c
Primary Specialty: Pharmacy
Enumeration Date: Jan 6, 2017
Last Updated: May 3, 2017

Practice Location

Address: 500 POOLER PKWY
City: Pooler
State: Georgia
ZIP Code: 31322
Phone: (912) 748-5170

Authorized Official

Name: SUSAN F COLBERT
Title: DIRECTOR, PAYER RELATIONS
Phone: (401) 765-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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