Organization
CVS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA DAVIS (PHARMACY SUPERVISOR)
(337) 467-2048
Entity
Organization
Contact information
Practice address
4890 BARKSDALE BLVD, BOSSIER CITY, LA 71112-4566
(318) 747-4330
Mailing address
2600 CELEBRATION CV, APT #706, SHREVEPORT, LA 71105-6201
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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