| NPI | 1942303672 |
|---|---|
| Doing Business As | CVS PHARMACY # 04877 |
| Entity Type | Organization |
| Authorized Contact | CRISTIANA MAURICIO Mgr Phcy Enrollments 401-770-2937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy (Licence: AL 110909) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2015-01-14 |