Provider Information for 1447295340
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GARFIELD BEACH CVS LLC
Other Names:Doing Business As:CVS PHARMACY #09610Organization Subpart: NO
NPI: 1447295340
Last Updated: 2009-09-11
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Details
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NPI | 1447295340 | ||||||||||||
Enumeration Date | 2006-06-17 | ||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||
Status | Active | ||||||||||||
Authorized Official Information | Name: CRISTIANA MAURICIO Title: MANAGER PHARMACY ENROLLMENTS Phone: 4017702937 | ||||||||||||
Mailing Address | 1 CVS DR PO BOX 1075 WOONSOCKET, RI 02895-6146 United States Phone: | Fax: | ||||||||||||
Primary Practice Address | 12280 PERRIS BLVD MORENO VALLEY, CA 92557-7418 United States Phone: 951-242-3596 | Fax: | ||||||||||||
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