Organization
PENNSYLVANIA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY 01379
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA MAURICIO (PHARMACY ENROLLMENTS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
840 VALLEY FORGE RD, LANSDALE, PA 19446
(215) 362-6303
Mailing address
840 VALLEY FORGE RD, LANSDALE, PA 19446
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3987407
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/26/2006
Last updated
12/23/2009
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