| NPI | 1114021979 |
|---|---|
| Doing Business As | CVS PHARMACY # 02442 |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Mgr Phcy Enrollments 401-770-2937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 23813) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2014-08-13 |