Cvs Pharmacy INC
Pharmacy in Mansfield, TX. Organization (NPI-2).
NPI number1053418558
StatusActive
Last updated in NPPESFeb 17, 2015
Details
- NPI
- 1053418558
- Entity type
- Organization (NPI-2)
- Legal business name
- Cvs Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Feb 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 24822 | TX | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cvs Pharmacy 03180 (Doing Business As)
Practice location
2200 Matlock RdMansfield, TX 76063-3855
Phone 817-453-0360
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Authorized official
Susan Colbert
Director, Payer Relations
4017702751
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