NPI | 1093819971 |
---|---|
Doing Business As | CVS PHARMACY #1815 |
Entity Type | Organization |
Authorized Contact | SUSAN F COLBERT Director Payer Relations 401-770-2751 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: FL 20361) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-09-12 |
Last Update Date | 2012-09-24 |