NPI | 1518900851 |
---|---|
Doing Business As | CVS PHARMACY #09865 |
Entity Type | Organization |
Authorized Contact | SUSAN COLBERT Director/Payer Relatons 401-770-2751 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY49636) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2006-06-14 |
Last Update Date | 2011-08-24 |