Organization
CVS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN M BOUTTE (PHARMACIST)
(985) 384-2126
Entity
Organization
Contact information
Practice address
6502 HIGHWAY 182 EAST, MORGAN CITY, LA 70380-0000
(985) 380-2126
Mailing address
6502 HIGHWAY 182 E, MORGAN CITY, LA 70380-2034
(985) 384-2126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14880
LA
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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