NPI | 1003851908 |
---|---|
Doing Business As | CVS PHARMACY 09601 |
Entity Type | Organization |
Authorized Contact | SUSAN COLBERT Pharmacy Enrollment Representative 401-770-2831 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-06-17 |
Last Update Date | 2011-08-25 |