| NPI | 1528002870 | 
|---|---|
| Doing Business As | CVS PHARMACY 09202 | 
| Entity Type | Organization | 
| Authorized Contact | SUSAN F COLBERT Director Pharmacy Enrollments 401-770-2751  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 333600000X Pharmacy | 
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy | 
| Enumeration Date | 2006-06-16 | 
| Last Update Date | 2014-12-23 |