Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pennsylvania Cvs Pharmacy LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1407584246

Pennsylvania Cvs Pharmacy LLC is a Durable Medical Equipment & Medical Supplies in Lebanon, Pennsylvania. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1745 Quentin Rd
Lebanon, PA 17042-7435
Phone: (401) 765-1500
Fax: (401) 735-1080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1407584246
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Sr Director Payer Relations · (401) 770-2751
Other names Cvs Pharmacy #17879; Cvs Pharmacy #17879
NPI enumeratedAugust 10, 2022
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023
Mailing address1 Cvs Dr, Woonsocket, RI 02895-6146

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