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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
1333600000XPharmacy64334CA

General Provider Information

NPI Number : 1710331954
Entity Type Code : Organization
Provider Name (Legal Business Name) : CVS/PHARMACY
Provider Business Mailing Address
First Line : 5837 S CENTRAL AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90001-1127
Country : US
Telephone Number : 323-233-2493
Fax Number : 323-234-1046
Provider Business Practice Location Address
First Line : 5837 S CENTRAL AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90001-1127
Country : US
Telephone Number : 323-233-2493
Fax Number : 323-234-1046
Authorized Official
Title or Position : PHARMACIST
Name : DR. KAMIKA M BAYLOR
Credential : PHARM.D
Telephone Number : 323-233-2493
Provider Enumeration Date : 04/13/2016
Last Update Date : 04/13/2016

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Directions to “CVS/PHARMACY ” Practice Location

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