Organization
PENNSYLVANIA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy # 00142
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS RYAN (CHAIRMAN, PRESIDENT AND CEO)
(401) 765-1500
Entity
Organization
Contact information
Practice address
305 W. BALTIMORE STREET, GREENCASTLE, PA 17225
(717) 593-0170
Mailing address
ONE CVS DRIVE, BOX 1075-PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP481666
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3987560
COMMERCIAL NUMBER
—
Enumeration date
12/20/2006
Last updated
10/01/2014
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