Provider Information for 1609952621
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CVS PHARMACY INC
Other Names:Doing Business As:CVS PHARMACY #10073Organization Subpart: NO
NPI: 1609952621
Last Updated: 2013-06-25
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
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| NPI | 1609952621 | ||||||||||||||||
| Enumeration Date | 2006-10-31 | ||||||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Authorized Official Information | Name: SUSAN COLBERT Title: Director - Payer Relations Phone: 4017702751 | ||||||||||||||||
| Mailing Address | 1 CVS DR WOONSOCKET, RI 02895-6146 United States Phone: 401-765-1500 | Fax: | ||||||||||||||||
| Primary Practice Address | 745 N ZARAGOZA RD EL PASO, TX 79907-4751 United States Phone: 915-859-2600 | Fax: | ||||||||||||||||
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