| NPI | 1013144971 |
|---|---|
| Doing Business As | CVS PHARMACY # 05390 |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Mgr Pharmacy Enrollments 401-765-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2014-03-05 |