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NPI Code Detail

MEDICARE: CVS PHARMACY

MEDICARE: CVS PHARMACY
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
1183500000XPharmacist029179NY

General Provider Information

NPI Number : 1588832026
Entity Type Code : Organization
Provider Name (Legal Business Name) : CVS PHARMACY
Provider Business Mailing Address
First Line : 21 CHATSWORTH AVE
Second Line :
City : LARCHMONT
State : NY
Zip : 10538-2903
Country : US
Telephone Number : 914-833-4103
Fax Number : 914-833-4166
Provider Business Practice Location Address
First Line : 21 CHATSWORTH AVE
Second Line :
City : LARCHMONT
State : NY
Zip : 10538-2903
Country : US
Telephone Number : 914-833-4103
Fax Number : 914-833-4166
Authorized Official
Title or Position : PHARMACY SUPERVISOR
Name : MR. GEORGE MICHAEL
Credential : PHARMACY MASTERS
Telephone Number : 914-833-4103
Provider Enumeration Date : 02/19/2008
Last Update Date : 02/19/2008

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Directions to “CVS PHARMACY ” Practice Location

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