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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
1183500000XPharmacist

General Provider Information

NPI Number : 1598177701
Entity Type Code : Organization
Provider Name (Legal Business Name) : CVS/CAREMARK
Provider Business Mailing Address
First Line : 4742 E INDIAN SCHOOL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-5440
Country : US
Telephone Number : 602-840-6500
Fax Number : 602-840-9522
Provider Business Practice Location Address
First Line : 4742 E INDIAN SCHOOL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-5440
Country : US
Telephone Number : 602-840-6500
Fax Number : 602-840-9522
Authorized Official
Title or Position : PHARMACIST
Name : DR. DONG V TRAN
Credential : PHARM.D.
Telephone Number : 602-840-6500
Provider Enumeration Date : 05/22/2014
Last Update Date : 05/22/2014

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Directions to “CVS/CAREMARK ” Practice Location

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