| NPI | 1023428844 | 
|---|---|
| Former Legal Business Name | CVS PHARMACY | 
| Entity Type | Organization | 
| Authorized Contact | LEIGHTON RICARDO LUGG Pharmacist 954-204-0632  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: FL PS41976)  | 
| Enumeration Date | 2014-05-01 | 
| Last Update Date | 2014-05-01 |