| NPI | 1912199969 |
|---|---|
| Doing Business As | CVS PHARMACY #05314 |
| Entity Type | Organization |
| Authorized Contact | CRISTIANA MAURICIO Manager, Pharmacy Enrollments 401-765-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2015-02-19 |