NPI | 1255373080 |
---|---|
Doing Business As | CVS PHARMACY #07553 |
Entity Type | Organization |
Authorized Contact | SUSAN F COLBERT Director, Payer Relations 401-770-5822 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY49615) | |
Enumeration Date | 2006-06-13 |
Last Update Date | 2012-03-05 |