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Organization
CVS/PHARMACY
Active
Organization
CVS/PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN VAUGHAN (DISTRICT MANAGER)
(401) 665-9825
Entity
Organization
Contact information
Practice address
6401 MACK ROAD, SACRAMENTO, CA 95823
(916) 405-6900
(916) 405-6968
Mailing address
6401 MACK ROAD, SACRAMENTO, CA 95823
(916) 405-6900
(916) 405-6968
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40992
CA
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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