| NPI | 1659475622 |
|---|---|
| Doing Business As | CVS PHARMACY 05817 |
| Entity Type | Organization |
| Authorized Contact | SUSAN F COLBERT Director Phcy Enrollments 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH19546) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-12-03 |