| NPI | 1053493163 |
|---|---|
| Doing Business As | CVS PHARMACY #03894 |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Manager, Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 25207) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2010-10-18 |