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General NPI Number Information
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NPI Number | 1255742185
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Entity Type | Organization
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Legal Business Name | CVS PHARMACY
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Dates
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Enumeration Date | 05/14/2014
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 7 POPHAM RD
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City | SCARSDALE
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State | NY
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Zip | 10583-3709
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Country | US
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Telephone | 914-723-3443
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Fax |
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Provider Business Mailing Address
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Address Line | 25 WINDING LN
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City | SCARSDALE
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State | NY
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Zip | 10583-4932
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Country | US
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Telephone | 914-439-0371
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | ALLEGRA LEONE
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Credential |
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Telephone | 914-439-0371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 057751
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License Number State | NY
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