NPI | 1003910886 |
---|---|
Doing Business As | CVS PHARMACY #02166 |
Entity Type | Organization |
Authorized Contact | SUSAN COLBERT Dir Phcy Enrollments 401-770-2751 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP415377L) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2006-09-12 |
Last Update Date | 2021-01-31 |