Organization
CVS PHARMACY, INC.
Active
Other names
CVS Pharmacy #05519
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MGR. PHARMACY ENROLLMENTS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1295 EAST LEAGUE CITY PARKWAY, LEAGUE CITY, TX 77573
(401) 765-1500
(401) 770-7108
Mailing address
1 CVS DR, BOX 1075 PROVIDER ENROLLMENT, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
10/04/2007
Last updated
02/19/2015
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