Organization
CVS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIANE FOSSEN (PHARMACIST)
(480) 219-4199
Entity
Organization
Contact information
Practice address
2807 N POWER RD, MESA, AZ 85215-1728
(480) 396-8301
Mailing address
7026 E ROLAND ST, MESA, AZ 85207-1280
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
012550
AZ
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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