DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WISCONSIN CVS PHARMACY, LLC

MEDICARE: WISCONSIN CVS PHARMACY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy
3333600000XPharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25131723OTHERNCPDP

General Provider Information

NPI Number : 1235362328
Entity Type Code : Organization
Provider Name (Legal Business Name) : WISCONSIN CVS PHARMACY, LLC
Provider Business Mailing Address
First Line : 1 CVS DR
Second Line : BOX 1075-PHARMACY ENROLLMENTS
City : WOONSOCKET
State : RI
Zip : 02895-6146
Country : US
Telephone Number : 401-765-1500
Fax Number :
Provider Business Practice Location Address
First Line : 1130 W SUNSET DR
Second Line :
City : WAUKESHA
State : WI
Zip : 53189-8422
Country : US
Telephone Number : 262-446-5169
Fax Number :
Authorized Official
Title or Position : DIRECTOR PAYER RELATIONS
Name : SUSAN F. COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 08/24/2009
Last Update Date : 03/10/2011

Similar Medicare Providers

1811998545 — JODI CORINNE DELAGRAVE APNP, DNP
Practice Location Address:
1130 W SUNSET DR
WAUKESHA, WI
53189-8422
Practice Phone: 800-389-2727
Practice Fax:
1730210576 — KATHLEEN A BRUECKER APNP
Practice Location Address:
1130 W SUNSET DR
WAUKESHA, WI
53189-8422
Practice Phone: 866-389-2727
Practice Fax:
1023366358 — MISS AMELIA TOLLEFSON APNP
Practice Location Address:
1130 W SUNSET DR
WAUKESHA, WI
53189-8422
Practice Phone: 866-389-2727
Practice Fax:
1063850246 — MRS. TRACEY SUE KOCHANSKI APNP
Practice Location Address:
1130 W SUNSET DR
WAUKESHA, WI
53189-8422
Practice Phone: 262-446-5169
Practice Fax:
1235764952 — KELLY LYNN MILLER
Practice Location Address:
1130 W SUNSET DR
WAUKESHA, WI
53189-8422
Practice Phone: 262-446-5169
Practice Fax:
1609401033 — MARGARET COLOMBE RPH
Practice Location Address:
1130 W SUNSET DR
WAUKESHA, WI
53189-8422
Practice Phone: 262-446-5169
Practice Fax:

Directions to “WISCONSIN CVS PHARMACY, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.