| NPI | 1508802661 |
|---|---|
| Doing Business As | CVS PHARMACY #09505 |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Manager Pharmacy Enrollments 401-770-2937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2015-01-16 |