# CVS CAREMARK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053788356
- **Authorized official:** KAVITA WADEKAR (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (401) 770-3959

## Contact information

- **Practice address:** 39350 9 MILE RD, NORTHVILLE, MI 48167-9164
- **Practice address phone:** (401) 770-3959
- **Mailing address:** 759 E BLUFF CT, ROCHESTER HILLS, MI 48307-6080
- **Mailing address phone:** (248) 229-4065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 4704272276 | MI | Yes |

## Other

- **Enumeration date:** 08/21/2015
- **Last updated:** 08/21/2015