Ohio CVS Stores LLC

Pharmacy · Avon Lake, OH

Organization Active NPI

NPI number 1083717805

Practice location

375 Lear Rd
Avon Lake, OH 44012-2094
Phone
(440) 933-2525

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NPI record

NPI
1083717805
Entity type
Organization (Type 2)
Enumeration date
September 7, 2006
Last updated
March 8, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 2758900 OH
Durable Medical Equipment & Medical Supplies 332B00000X — —
Community/Retail Pharmacy 3336C0003X — —

Mailing address

1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146

Authorized official

Name
Susan Colbert
Title
Director
Phone
(401) 765-1500

Other names

  • CVS Pharmacy 04078

About Ohio CVS Stores LLC

Ohio CVS Stores LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 375 Lear Rd, Avon Lake, OH 44012-2094. The NPI number 1083717805 was assigned on September 7, 2006 and the record was last updated on March 8, 2012.

Ohio CVS Stores LLC lists a license in the registry: #2758900 (OH) for Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Susan Colbert, Director.

Frequently asked questions

What is the NPI number of Ohio CVS Stores LLC?

The NPI number is 1083717805.

What is the phone number of Ohio CVS Stores LLC?

The phone number listed for the practice location is (440) 933-2525.

Where is Ohio CVS Stores LLC located?

375 Lear Rd, Avon Lake, OH 44012-2094.

What is the taxonomy code for Ohio CVS Stores LLC?

The primary taxonomy code is 333600000X – Pharmacy; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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