| NPI | 1104867019 |
|---|---|
| Doing Business As | CVS PHARMACY # 09747 |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Director Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2011-08-25 |