| NPI | 1487065983 | 
|---|---|
| Doing Business As | CVS PHARMACY #17671 | 
| Entity Type | Organization | 
| Authorized Contact | SUSAN COLBERT Sr. Director, Payer Relations 401-770-2751 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 333600000X Pharmacy | 
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies | 
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 264501) | |
| Enumeration Date | 2014-05-19 | 
| Last Update Date | 2016-11-15 |