| NPI | 1154443125 |
|---|---|
| Doing Business As | CVS PHARMACY AT THUNDERMIST #02474 |
| Entity Type | Organization |
| Authorized Contact | SUSAN F COLBERT Director, Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2012-02-29 |