NPI | 1750485694 |
---|---|
Doing Business As | CVS PHARMACY #02902 |
Entity Type | Organization |
Authorized Contact | SUSAN F. COLBERT Director, Payer Relations 401-770-2751 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: IL 054-014467) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2006-09-12 |
Last Update Date | 2021-01-31 |