NPI | 1740384684 |
---|---|
Doing Business As | CVS PHARMACY # 03110 |
Entity Type | Organization |
Authorized Contact | SUSAN COLBERT Director, Payer Relations 401-770-2751 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: IL 054-014663) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-09-12 |
Last Update Date | 2022-12-20 |