| NPI | 1114182243 |
|---|---|
| Doing Business As | CVS PHARMACY #02580 |
| Entity Type | Organization |
| Authorized Contact | CRISTIANA M MAURICIO Manager Pharmacy Enrollments 401-765-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2015-02-13 |