Organization
CVS/CAREMARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CERNI (DISTRICT SALES MANAGER)
(630) 921-2345
Entity
Organization
Contact information
Practice address
1525 N CENTRAL AVE, PHOENIX, AZ 85004-1646
(602) 256-2124
Mailing address
44 W MONROE ST APT 2105, PHOENIX, AZ 85003-4599
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
S019454
AZ
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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