NPI | 1477652782 |
---|---|
Doing Business As | CVS PHARMACY #02955 |
Entity Type | Organization |
Authorized Contact | SUSAN COLBERT Director, Managed Care Admin 401-770-2751 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: NV PH01668) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-09-22 |
Last Update Date | 2019-06-03 |