Organization
CVS CAREMARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAVITA WADEKAR (CREDENTIALING COORDINATOR)
(401) 770-3959
Entity
Organization
Contact information
Practice address
39350 9 MILE RD, NORTHVILLE, MI 48167-9164
(401) 770-3959
Mailing address
759 E BLUFF CT, ROCHESTER HILLS, MI 48307-6080
(248) 229-4065
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
4704272276
MI
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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