Organization
CVS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN THERIAULT (PHARMACY SUPERVISOR)
(202) 731-5413
Entity
Organization
Contact information
Practice address
9420 LANHAM SEVERN RD, LANHAM, MD 20706-2642
(301) 577-5555
Mailing address
9420 LANHAM SEVERN RD, LANHAM, MD 20706-2642
(301) 577-5555
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
22466
MD
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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