Ohio CVS Stores LLC
Pharmacy · Granville, OH
Practice location
200 Broadway EGranville, OH 43023-1306
- Phone
- (740) 587-0268
- Fax
- (401) 770-7108
NPI record
- NPI
- 1215018601
- Entity type
- Organization (Type 2)
- Enumeration date
- October 18, 2006
- Last updated
- December 2, 2010
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X |
021632650 | OH |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
— | — |
| Community/Retail Pharmacy | 3336C0003X |
— | — |
Mailing address
One CVS DriveBox 1075-Pharmacy Enrollments
Woonsocket, ID 02895
- Phone
- (401) 765-1500
- Fax
- (401) 770-7108
Authorized official
- Name
- Susan Colbert
- Title
- Director
- Phone
- (401) 765-1500
Other names
- CVS Pharmacy # 00396
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 200 Broadway E, Granville, OH 43023-1306. The NPI number 1215018601 was assigned on October 18, 2006 and the record was last updated on December 2, 2010.
Ohio CVS Stores LLC lists a license in the registry: #021632650 (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 1215018601.
What is the phone number of Ohio CVS Stores LLC?
The phone number listed for the practice location is (740) 587-0268.
Where is Ohio CVS Stores LLC located?
200 Broadway E, Granville, OH 43023-1306.
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.