# CVS

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

## Provider details

- **NPI number:** 1114378577
- **Authorized official:** MS. SHEILA MODESTA RIVERA (PHARMACIST)
- **Authorized official phone:** (562) 208-1115

## Contact information

- **Practice address:** 11358 CUTTYHUNK CT, CYPRESS, CA 90630-5439
- **Practice address phone:** (562) 208-1115
- **Mailing address:** 1387 W WHITTIER BLVD, LA HABRA, CA 90631-3612
- **Mailing address phone:** (562) 691-1721

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 35189 | CA | Yes |

## Other

- **Enumeration date:** 06/28/2016
- **Last updated:** 06/28/2016