Organization
RHODE ISLAND CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY #00330
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS)
(401) 770-2937
Entity
Organization
Contact information
Practice address
445 PUTNAM PIKE APPLE VALLEY MALL, GREENVILLE, RI 02828
(401) 231-5320
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
RI
333600000X
Pharmacy
Primary
00170
RI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3910043
DME
RI
01
—
4103292
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
RI76203
—
RI
Enumeration date
09/20/2006
Last updated
06/19/2014
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