# CVS

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

## Provider details

- **NPI number:** 1154736064
- **Authorized official:** MRS. ANGELA WALDRON ALLUMS RPH (PHARMACIST-IN-CHARGE)
- **Authorized official phone:** (318) 553-2726

## Contact information

- **Practice address:** 7004 YOUREE DRIVE, SHREVEPORT, LA 71005
- **Practice address phone:** (318) 797-3665
- **Mailing address:** 7005 YOUREE DRIVE, SHREVEPORT, LA 71005
- **Mailing address phone:** (318) 797-3665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | CDS.039623 | LA | Yes |

## Other

- **Enumeration date:** 06/30/2014
- **Last updated:** 06/30/2014
