| NPI | 1700233160 |
|---|---|
| Doing Business As | CVS SPECIALTY |
| Entity Type | Organization |
| Authorized Contact | ANNE KLIS President/Treasurer 909-799-4174 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: CA PHY53625) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY53625) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CA PHY53625) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |