NPI | 1407950181 |
---|---|
Doing Business As | CVS PHARMACY #01429 |
Entity Type | Organization |
Authorized Contact | SUSAN COLBERT Dir Phcy Enrollments 401-770-2751 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: WV MP0552304) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy Community/Retail Pharmacy | |
Enumeration Date | 2006-09-12 |
Last Update Date | 2012-03-08 |