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NPI Code Detail

MEDICARE: CVS/CAREMARK

MEDICARE: CVS/CAREMARK
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
13336C0003XCommunity/Retail Pharmacy020594LA

General Provider Information

NPI Number : 1205235744
Entity Type Code : Organization
Provider Name (Legal Business Name) : CVS/CAREMARK
Provider Business Mailing Address
First Line : 2570 SOUTHERN DR
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70611-4307
Country : US
Telephone Number : 337-855-8869
Fax Number :
Provider Business Practice Location Address
First Line : 366 SAM HOUSTON JONES PKWY
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70611-5602
Country : US
Telephone Number : 337-855-1341
Fax Number :
Authorized Official
Title or Position : PHARMACIST
Name : ERIC M WELCH
Credential : PHARMD
Telephone Number : 337-513-2990
Provider Enumeration Date : 08/21/2014
Last Update Date : 08/21/2014

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Directions to “CVS/CAREMARK ” Practice Location

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