| NPI | 1063516805 |
|---|---|
| Doing Business As | CVS PHARMACY #01612 |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Director Phcy Enrollments 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP412101L) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-03-08 |