NPI | 1528166089 |
---|---|
Doing Business As | CVS PHARMACY # 01411 |
Entity Type | Organization |
Authorized Contact | SUSAN COLBERT Director, Payer Relations 401-770-2751 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: VA 201000644) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2011-11-02 |