| NPI | 1710081682 |
|---|---|
| Doing Business As | CVS PHARMACY #05194 |
| Entity Type | Organization |
| Authorized Contact | PATRICIA VANDERBRUG Phcy Enrollments Representative 401-770-1624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL 20534) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-12-04 |