| NPI | 1417100447 |
|---|---|
| Doing Business As | CVS/PHARMACY #48611 |
| Entity Type | Organization |
| Authorized Contact | BRANDON AYCOCK President 401-765-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ME PH50001530) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2025-12-10 |