| NPI | 1194828939 |
|---|---|
| Doing Business As | CVS PHARMACY #04064 |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Director Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP413432L) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-03-07 |