Provider Information for 1811090558
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OHIO CVS STORES LLC
Other Names:Doing Business As:CVS PHARMACY 04316Organization Subpart: NO
NPI: 1811090558
Last Updated: 2011-08-05
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Details
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NPI | 1811090558 | ||||||||||||||||
Enumeration Date | 2006-09-07 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: SUSAN COLBERT Title: Director Phone: 4017651500 | ||||||||||||||||
Mailing Address | 1 CVS DR PO BOX 1075 WOONSOCKET, RI 02895-6146 United States Phone: | Fax: | ||||||||||||||||
Primary Practice Address | 6301 HARVARD AVE CLEVELAND, OH 44105-4862 United States Phone: 216-271-0970 | Fax: | ||||||||||||||||
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