Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD BEAUBOEUF (SUPERVISING PHARMACIST)
(914) 960-0956
Entity
Organization
Contact information
Practice address
660 COLUMBUS AVE, THORNWOOD, NY 10594-1909
(914) 769-1834
Mailing address
660 COLUMBUS AVE, THORNWOOD, NY 10594-1909
(914) 769-1834
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
049860-1
NY
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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