| NPI | 1982870473 |
|---|---|
| Doing Business As | CVS PHARMACY # 04088 |
| Entity Type | Organization |
| Authorized Contact | CRISTIANA M MAURICIO Mgr Phcy 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 | 2008-05-05 |
| Last Update Date | 2015-02-03 |