NPI: 1851495733 · TAMARAC, FL 33321 · Community/Retail Pharmacy · NPI assigned 09/12/2006
| Authorized Official | COLBERT, SUSAN (DIRECTOR PAYER RELATIONS) |
| NPI Enumeration Date | 09/12/2006 |
Other providers sharing the same authorized official: COLBERT, SUSAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| MONTANA CVS PHARMACY LLC | ANACONDA | MT | $15K |
| WISCONSIN CVS PHARMACY LLC | APPLETON | WI | $13K |
| WISCONSIN CVS PHARMACY LLC | GREEN BAY | WI | $10K |
| WISCONSIN CVS PHARMACY LLC | MILWAUKEE | WI | $5K |
| AMERICAN DRUG STORES DELAWARE LLC | FARGO | ND | $3K |
| WISCONSIN CVS PHARMACY LLC | WAUWATOSA | WI | $3K |
| WISCONSIN CVS PHARMACY LLC | KENOSHA | WI | $3K |
| WISCONSIN CVS PHARMACY LLC | CUDAHY | WI | $2K |
| WISCONSIN CVS PHARMACY LLC | JANESVILLE | WI | $938.31 |
| CVS PHARMACY, INC. | BIG SPRING | TX | $900.03 |
| GARFIELD BEACH CVS, L.L.C. | REDDING | CA | $493.69 |
| HOOK-SUPERX LLC | TERRE HAUTE | IN | $424.35 |
| WISCONSIN CVS PHARMACY LLC | GREEN BAY | WI | $310.51 |
| GARFIELD BEACH CVS LLC | MISSION HILLS | CA | $301.55 |
| GARFIELD BEACH CVS LLC | SAND CITY | CA | $210.35 |
| GARFIELD BEACH CVS LLC | LOS ANGELES | CA | $173.03 |
| GARFIELD BEACH CVS LLC | GARDENA | CA | $173.03 |
| ARIZONA CVS STORES LLC | TUCSON | AZ | $118.58 |
| GARFIELD BEACH CVS LLC | BURBANK | CA | $0.00 |
| GARFIELD BEACH CVS LLC | SAN JOSE | CA | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 15 | $1.12 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0004A | 15 | 14 | $1.12 |