| NPI | 1013101195 |
|---|---|
| Doing Business As | CVS PHARMACY #17204 |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Sr. Director, Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010221) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2016-10-12 |