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Organization

CVS/ PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BREANNA NEWTON (PHARMACY SUPERVISOR)
(337) 377-7213
Entity
Organization

Contact information

Practice address
2000 RYAN ST, LAKE CHARLES, LA 70601-7314
(337) 439-4241
(337) 439-4186
Mailing address
2000 RYAN ST, LAKE CHARLES, LA 70601-7314
(337) 439-4241
(337) 439-4186

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
PST.020613
LA

Other

Enumeration date
09/10/2014
Last updated
09/10/2014
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