Organization
CVS OF PENNSYLVANIA, INC.
Active
Other names
CVS Pharmacy # 01648
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MGR PHARMACY ENROLLMENTS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
2933 N 7TH ST, HARRISBURG, PA 17110-2109
(717) 238-7207
Mailing address
1 CVS DR, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PP411831L
PA
333600000X
Pharmacy
Primary
PP411831L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007375760392
—
PA
01
—
PP411831L
PHARMACY LICENSE
PA
Enumeration date
01/16/2007
Last updated
11/16/2009
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