Ohio Cvs Stores LLC
Pharmacy, Community/Retail Pharmacy in Mentor, OH. Organization (NPI-2).
NPI number1053505198
StatusActive
Last updated in NPPESAug 25, 2016
Details
- NPI
- 1053505198
- Entity type
- Organization (NPI-2)
- Legal business name
- Ohio Cvs Stores LLC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2007
- Last updated
- Aug 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | RTPC.022572250-03 | OH | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cvs Pharmacy # (Doing Business As)
Practice location
9669 Mentor AveMentor, OH 44060-4528
Phone 440-210-5054 · Fax 440-210-5064
Mailing address
1 Cvs DrBox 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan Colbert
Sr. Director, Payer Relations
4017702751
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