Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MARIE RINDONE RPH/PHARMD (PHARMACIST IN CHARGE)
(928) 442-0312
Entity
Organization
Contact information
Practice address
506 MILLER VALLEY RD, PRESCOTT, AZ 86301-2314
(928) 442-0312
(928) 442-0321
Mailing address
506 MILLER VALLEY RD, PRESCOTT, AZ 86301-2314
(928) 442-0312
(928) 442-0321
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
S08364
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S08364
ARIZONA PHARMACIST LICENSE NUMBER
AZ
Enumeration date
04/02/2014
Last updated
04/02/2014
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