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Oregon Cvs Pharmacy LLC — NPI 1063090710, Lake Oswego, OR | NPI Central

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NPI 1063090710

OrganizationActive

Oregon Cvs Pharmacy LLC

NPI 1063090710 · Pharmacy · Lake Oswego, OR

Provider details

NPI number: 1063090710
Entity type: Organization
Primary specialty: PharmacySuppliers
Organization subpart: No
Authorized official: Susan Colbert, Sr Director, Payer Relations(401) 770-2751

Specialties & taxonomies

PharmacyPrimary333600000X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers

Practice location

4025 Mercantile Dr Ste 110

Lake Oswego, OR 97035-2551

Phone: (503) 387-8167

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

1 Cvs Dr # 1075

Woonsocket, RI 02895-6146

Other names (DBA / former)

Doing business as: Cvs Pharmacy 11283
Doing business as: Cvs Pharmacy 11283

Registry dates

Enumerated: 2021-04-01
Last updated: 2021-05-12
Certified: 2021-05-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.