Organization
RHODE ISLAND CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 00469
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS)
(401) 770-2937
Entity
Organization
Contact information
Practice address
1188 PONTIAC AVE, CRANSTON, RI 02920-7921
(401) 943-6452
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
—
—
333600000X
Pharmacy
Primary
00098
RI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3910031
DME
RI
01
—
4103381
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
9010098
—
RI
Enumeration date
09/12/2006
Last updated
11/05/2009
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