| NPI | 1689777419 |
|---|---|
| Doing Business As | CVS PHARMACY # 04611 |
| Entity Type | Organization |
| Authorized Contact | SUSAN F COLBERT Director, Payer Relations 401-770-2715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 22459) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-10-21 |