NPI | 1174664478 |
---|---|
Doing Business As | CVS PHARMACY # 01539 |
Entity Type | Organization |
Authorized Contact | SUSAN COLBERT Director, Payer Relations 401-765-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: VA 0201004133) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0201004133) |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201004133) | |
Enumeration Date | 2007-02-09 |
Last Update Date | 2011-11-02 |