| NPI | 1205189024 |
|---|---|
| Doing Business As | CVS PHARMACY #18036 |
| Doing Business As | SCHNUCKS PHARMACY 174 |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Sr. Director, Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2012035345) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy (Licence: MO 2012035345) | |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2020-06-26 |