NPI | 1154425049 |
---|---|
Doing Business As | CVS PHARMACY #07852 |
Entity Type | Organization |
Authorized Contact | SUSAN F COLBERT Director, Payer Relations 401-770-2751 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: AZ 4127) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2006-09-12 |
Last Update Date | 2011-10-07 |