Organization
CVS PHARMACY INC
Active
Other names
CVS PHARMACY #07708
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS)
(401) 770-2937
Entity
Organization
Contact information
Practice address
100 E MAIN ST, WHITEHOUSE, TX 75791
(903) 839-6274
(903) 839-0323
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
24747
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000463090
—
TX
01
—
4581167
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00754740
MEDICARE RR
TX
Enumeration date
09/20/2006
Last updated
03/09/2015
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