NPI | 1174040687 |
---|---|
Doing Business As | CVS PHARMACY #17711 |
Entity Type | Organization |
Authorized Contact | SUSAN COLBERT Sr. Dr, 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 | |
Enumeration Date | 2017-08-25 |
Last Update Date | 2017-10-03 |