NPI | 1467522375 |
---|---|
Doing Business As | CVS PHARMACY # 05823 |
Entity Type | Organization |
Authorized Contact | SUSAN COLBERT Director Payer Relations 401-770-2751 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH22353) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2006-11-08 |
Last Update Date | 2011-09-26 |