| NPI | 1619912417 |
|---|---|
| Doing Business As | CVS PHARMACY 09104 |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Phcy Enrollments Rep 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2014-05-21 |