NPI | 1558698076 |
---|---|
Doing Business As | CVS PHARMACY # 00255 |
Entity Type | Organization |
Authorized Contact | SUSAN COLBERT Director, Managed Care Contract Adm 401-770-2751 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2009-11-04 |
Last Update Date | 2011-11-02 |