| NPI | 1114026424 |
|---|---|
| Doing Business As | CVS PHARMACY #05645 |
| Entity Type | Organization |
| Authorized Contact | CRISTIANA MAURICIO Mgr Phcy Enrollments 401-770-2937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MO 2004023122) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-02-03 |