NPI | 1063510097 |
---|---|
Doing Business As | CVS/SPECIALTY OR CARELONRX SPECIALTY PHARMACY #48226 |
Entity Type | Organization |
Authorized Contact | THOMAS MOFFATT Vice President 401-770-5409 |
Organization Subpart ? | No |
Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH21423) | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
3336M0002X Pharmacy, Mail Order Pharmacy | |
Enumeration Date | 2006-09-21 |
Last Update Date | 2023-10-04 |