Provider Information for 1477741221
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CVS PHARMACY INC
Other Names:Doing Business As:CVS PHARMACY #08319Organization Subpart: NO
NPI: 1477741221
Last Updated: 2011-10-12
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Details
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NPI | 1477741221 | ||||||||||||||||
Enumeration Date | 2007-10-05 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: SUSAN F COLBERT Title: Director, Payer Relations Phone: 4017702751 | ||||||||||||||||
Mailing Address | ONE CVS DRIVE BOX 1075 - PHARMACY ENROLLMENTS WOONSOCKET, RI 02895 United States Phone: 401-765-1500 | Fax: | ||||||||||||||||
Primary Practice Address | 1 DAVIS SQ SOMERVILLE, MA 02144-2904 United States Phone: 617-629-4156 | Fax: | ||||||||||||||||
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