| NPI | 1174635015 |
|---|---|
| Doing Business As | CVS PHARMACY #08104 |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Director 401-765-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301-005410) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-06-25 |