Ohio Cvs Stores LLC

NPI #1982707683 in Columbus, Ohio

Provider Information

NPI Number: 1982707683
Entity Type: Organization
Organization Name: Ohio Cvs Stores LLC
Primary Specialty: Pharmacy
Enumeration Date: Sep 7, 2006
Last Updated: Oct 25, 2011

Practice Location

Address: 1495 W 5TH AVE
City: Columbus
State: Ohio
ZIP Code: 43212-2403
Phone: (614) 486-7159

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751

Specialties & Taxonomy Codes

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

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Provider Name	Specialty	City
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