| NPI | 1952404717 |
|---|---|
| Doing Business As | CVS PHARMACY # 04058 |
| Entity Type | Organization |
| Authorized Contact | SUSAN F COLBERT Director 401-765-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP412442L) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-03-13 |