Connecticut Cvs Pharmacy, L.L.C.
Pharmacy in Madison, CT. Organization (NPI-2).
NPI number1104920008
StatusActive
Last updated in NPPESOct 27, 2014
Details
- NPI
- 1104920008
- Entity type
- Organization (NPI-2)
- Legal business name
- Connecticut Cvs Pharmacy, L.L.C.
- Organization subpart
- No
- Enumeration date
- Sep 12, 2006
- Last updated
- Oct 27, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 1188 | CT | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cvs Pharmacy # 00388 (Doing Business As)
Practice location
613 Boston Post RdMadison, CT 06443-3080
Phone 203-245-3165
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500 · Fax 401-770-7108
Authorized official
Susan Colbert
Director
4017651500
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