| NPI | 1063964260 |
|---|---|
| Doing Business As | CVS PHARMACY #10791 |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Sr Pharmacy Enrollment COO Rdinator 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2017-05-12 |