| NPI | 1194828947 |
|---|---|
| Doing Business As | CVS PHARMACY #05711 |
| Entity Type | Organization |
| Authorized Contact | SUSAN F. COLBERT Director 401-765-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP412441L) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-08-03 |