NPI | 1417979121 |
---|---|
Doing Business As | CVS PHARMACY #16771 |
Entity Type | Organization |
Authorized Contact | SUSAN COLBERT Sr. Director, Payer Relations 401-770-2751 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054.019772) |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2006-07-24 |
Last Update Date | 2016-08-29 |