NPI | 1760586572 |
---|---|
Doing Business As | CVS PHARMACY #07159 |
Entity Type | Organization |
Authorized Contact | SUSAN COLBERT Director Payer Relations 401-770-2751 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: SC 10752) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy Community/Retail Pharmacy | |
Enumeration Date | 2006-09-12 |
Last Update Date | 2010-11-19 |