| NPI | 1649378100 |
|---|---|
| Doing Business As | CVS PHARMACY # 01957 |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Director, Managed Care Contract Adm 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: VA 0201001807) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-08-19 |