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NPI Code Detail

MEDICARE: CVS PHARMACY INC

MEDICARE: CVS PHARMACY INC
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 Pharmacy
2333600000XPharmacy24641TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24558055OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1699879478
Entity Type Code : Organization
Provider Name (Legal Business Name) : CVS PHARMACY INC
Provider Business Mailing Address
First Line : 1 CVS DR
Second Line : PO BOX 1075
City : WOONSOCKET
State : RI
Zip : 02895-6146
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6915 WEST AVE
Second Line :
City : CASTLE HILLS
State : TX
Zip : 78213-1822
Country : US
Telephone Number : 210-341-1487
Fax Number : 210-341-0442
Authorized Official
Title or Position : MGR PHCY ENROLLMENTS
Name : CRISTIANA MAURICIO
Credential :
Telephone Number : 401-770-2937
Provider Enumeration Date : 09/12/2006
Last Update Date : 03/02/2015

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Directions to “CVS PHARMACY INC ” Practice Location

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