NPI | 1104929801 |
---|---|
Doing Business As | CVS PHARMACY #03784 |
Entity Type | Organization |
Authorized Contact | SUSAN F COLBERT Director, Payer Relations 401-770-2751 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: TN 0000000050) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2006-09-07 |
Last Update Date | 2011-09-16 |