| NPI | 1740794882 |
|---|---|
| Doing Business As | SCHNUCKS PHARMACY 178 |
| Doing Business As | CVS PHARMACY #18039 |
| Entity Type | Organization |
| Authorized Contact | SUSAN F COLBERT Sr. Director, Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054-020607) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 163WD0400X Registered Nurse, Diabetes Educator | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2020-07-15 |