NPI | 1356892616 |
---|---|
Doing Business As | CVS PHARMACY #10801 |
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 | |
Enumeration Date | 2016-10-20 |
Last Update Date | 2017-04-13 |