| NPI | 1700180692 | 
|---|---|
| Doing Business As | CVS PHARMACY # 03054 | 
| Entity Type | Organization | 
| Authorized Contact | SUSAN F. COLBERT Sr. Director, Payer Relations 401-765-1500  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 333600000X Pharmacy | 
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies | 
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2011-01-06 | 
| Last Update Date | 2024-08-02 |