Connecticut Cvs Pharmacy, L.L.C.
Pharmacy in Granby, CT. Organization (NPI-2).
NPI number1104921956
StatusActive
Last updated in NPPESOct 7, 2011
Details
- NPI
- 1104921956
- Entity type
- Organization (NPI-2)
- Legal business name
- Connecticut Cvs Pharmacy, L.L.C.
- Organization subpart
- No
- Enumeration date
- Sep 14, 2006
- Last updated
- Oct 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 1484 | CT | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cvs Pharmacy # 01202 (Doing Business As)
Practice location
20 Bank StGranby, CT 06035
Phone 860-653-4221
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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