| NPI | 1558916379 | 
|---|---|
| Doing Business As | CVS PHARMACY #10792 | 
| Entity Type | Organization | 
| Authorized Contact | SUSAN F COLBERT Sr. Director 401-770-2751 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 333600000X Pharmacy | 
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | 
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2019-08-08 | 
| Last Update Date | 2019-08-08 |