| NPI | 1750971008 |
|---|---|
| Former Legal Business Name | CVS PHARMACY # 11015 |
| Entity Type | Organization |
| Authorized Contact | SUSAN F COLBERT Sr Director 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-04-06 |