WISCONSIN CVS PHARMACY LLC

KENOSHA, WI
NPI1124326764
Doing Business AsCVS PHARMACY #02933
Entity TypeOrganization
Authorized ContactSUSAN F COLBERT
Director, Payer Relations
401-770-2751
Organization Subpart ?No
Primary Taxonomy333600000X Pharmacy
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
3336C0003X Pharmacy, Community/Retail Pharmacy
Enumeration Date2011-03-07
Last Update Date2011-07-15
Business Address
WISCONSIN CVS PHARMACY LLC
3710 57TH AVE
KENOSHA, WI 53144
Phone number: 262-652-1474
Mailing Address
WISCONSIN CVS PHARMACY LLC
1 CVS DR BOX 1075 - PHARMACY ENROLLMENTS
WOONSOCKET, RI 02895-6146
Phone number: 401-765-1500