WISCONSIN CVS PHARMACY LLC

LAKE GENEVA, WI
NPI1427242502
Doing Business AsCVS PHARMACY #17413
Entity TypeOrganization
Authorized ContactSUSAN COLBERT
Sr. Director, Payer Relations
401-770-2751
Organization Subpart ?No
Primary Taxonomy333600000X Pharmacy
Additional Taxonomies3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: WI  8778042)
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2007-08-31
Last Update Date2016-12-13
Business Address
WISCONSIN CVS PHARMACY LLC
660 N EDWARDS BLVD
LAKE GENEVA, WI 53147-4595
Phone number: 262-248-5611
Mailing Address
WISCONSIN CVS PHARMACY LLC
1 CVS DR MAIL CODE 1090
WOONSOCKET, RI 02895-6146
Phone number: 401-765-1500