MEDICARE: CVS CAREMARK CORPORATION

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
1	183500000X	Pharmacist	21217	MD

General Provider Information

NPI Number	:	1811306004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CVS CAREMARK CORPORATION

Provider Business Mailing Address
First Line	:	1290 E WEST HWY
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3242
Country	:	US
Telephone Number	:	301-488-6261
Fax Number	:	301-588-2297

Provider Business Practice Location Address
First Line	:	1290 E WEST HWY
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3242
Country	:	US
Telephone Number	:	301-488-6261
Fax Number	:	301-588-2297

Authorized Official
Title or Position	:	PHARMACIST
Name	:	MR. ZELALEM GETAHUN BEKELE
Credential	:
Telephone Number	:	240-938-2885

Provider Enumeration Date	:	08/13/2014
Last Update Date	:	08/13/2014

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Directions to “CVS CAREMARK CORPORATION ” Practice Location

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