Organization
CVS/PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONTANNA J. PAULHUS PHARMD (PHARMACY MANGER)
(603) 455-4312
Entity
Organization
Contact information
Practice address
1279 W MAIN ST, WATERBURY, CT 06708-3101
(203) 755-5490
Mailing address
1279 W MAIN ST, WATERBURY, CT 06708-3101
(203) 755-5490
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0012919
CT
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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