| NPI | 1528449378 | 
|---|---|
| Doing Business As | CVS PHARMACY# 10654 | 
| Entity Type | Organization | 
| Authorized Contact | SUSAN COLBERT Director Payer Relations 401-770-2751 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 333600000X Pharmacy | 
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | 
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2015-06-17 | 
| Last Update Date | 2016-02-25 |