| NPI | 1295712065 |
|---|---|
| Doing Business As | CVS PHARMACY #11421 |
| Entity Type | Organization |
| Authorized Contact | SUSAN F COLBERT Sr. Director, Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP410816L) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2020-02-03 |