Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY #06773
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS)
(401) 770-2937
Entity
Organization
Contact information
Practice address
15411 WALLISVILLE RD, HOUSTON, TX 77049-4613
(281) 459-2740
(281) 459-3714
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
—
—
333600000X
Pharmacy
Primary
24482
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4545123
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
461031
—
TX
Enumeration date
09/20/2006
Last updated
02/25/2015
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