NPI | 1104271667 |
---|---|
Doing Business As | CVS PHARMACY # 10459 |
Entity Type | Organization |
Authorized Contact | SUSAN COLBERT Sr Director Payer Relations 401-765-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2016-05-03 |
Last Update Date | 2016-10-19 |