# CVS

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

## Provider details

- **NPI number:** 1962821694
- **Authorized official:** SHERYL HANNO (PHARMACY MANAGER)
- **Authorized official phone:** (928) 526-6505

## Contact information

- **Practice address:** 3506 E ROUTE 66, FLAGSTAFF, AZ 86004-4033
- **Practice address phone:** (928) 526-6505
- **Mailing address:** 3506 E ROUTE 66, FLAGSTAFF, AZ 86004-4033
- **Mailing address phone:** (928) 526-6505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | S020237 | AZ | Yes |

## Other

- **Enumeration date:** 04/09/2014
- **Last updated:** 04/09/2014
