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General NPI Number Information
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NPI Number | 1942175534
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Entity Type | Organization
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Legal Business Name | CVS
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 474 WINTON PKWY
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City | LIVINGSTON
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State | CA
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Zip | 95334-9809
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Country | US
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Telephone | 209-394-6785
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Fax |
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Provider Business Mailing Address
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Address Line | 2269 AUTUMN MOON WAY
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City | TURLOCK
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State | CA
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Zip | 95382-9759
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Country | US
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Telephone | 209-417-7380
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Fax |
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Authorized Official
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Title or Position | DISTRICT SUPPORT PHARMACIST
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Name | MR. JOSUE JOAQUIN GARCIA
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Credential |
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Telephone | 209-417-7380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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