| NPI | 1104070101 |
|---|---|
| Doing Business As | CVS PHARMACY# 04362 |
| Entity Type | Organization |
| Authorized Contact | SUSAN F COLBERT Director Pharmacy Enrollments 401-765-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2010-03-11 |