| NPI | 1760591234 |
|---|---|
| Doing Business As | CVS/PHARMACY #02516 |
| Entity Type | Organization |
| Authorized Contact | SUSAN F. COLBERT Director, Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MA 2870) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA 2870) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: MA 2870) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2021-01-31 |