Organization
ALABAMA CVS PHARMACY, L.L.C.
Active
Organization
ALABAMA CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 04877
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS)
(401) 770-2937
Entity
Organization
Contact information
Practice address
2280 MLK BLVD, MOBILE, AL 36610
(251) 471-6229
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
110909
AL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120042
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
1942303672
DME
AL
05
—
1942303672
—
AL
Enumeration date
09/07/2006
Last updated
01/14/2015
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