Organization
RHODE ISLAND CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy # 01414
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS RYAN (CHAIRMAN, PRESIDENT AND CEO)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1195 OAKLAWN AVE, CRANSTON, RI 02920-2620
(401) 463-1971
Mailing address
1 CVS DR, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
RI
333600000X
Pharmacy
Primary
PHA00374
RI
3336C0003X
Community/Retail Pharmacy
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3910008
DME
RI
05
—
RI75556
—
RI
Enumeration date
11/28/2006
Last updated
11/05/2009
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