| NPI | 1053353243 |
|---|---|
| Doing Business As | CVS PHARMACY # 09652 |
| Entity Type | Organization |
| Authorized Contact | CRISTIANA MAURICIO Manager Pharmacy Enrollments 401-770-2937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2011-08-23 |