| NPI | 1104920966 |
|---|---|
| Doing Business As | CVS PHARMACY 02120 |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Dir Phcy Enrollments 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP415376L) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2014-09-12 |