NPI | 1205858081 |
---|---|
Doing Business As | CVS PHARMACY #16621 |
Entity Type | Organization |
Authorized Contact | SUSAN COLBERT Sr. Director, Payer Relations 401-770-2751 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 111738) | |
Enumeration Date | 2006-07-24 |
Last Update Date | 2024-03-26 |