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Organization
RHODE ISLAND CVS PHARMACY, L.L.C.
Active
Organization
RHODE ISLAND CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 08320
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS)
(401) 770-2937
Entity
Organization
Contact information
Practice address
1187 MAIN ST, WYOMING, RI 02898
(401) 539-4000
(401) 539-2750
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
RI
333600000X
Pharmacy
Primary
PHA00355
RI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4106375
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
9380001
DME
RI
05
—
RR53968
—
RI
Enumeration date
09/20/2006
Last updated
06/16/2014
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