Organization · NPI-2

Pennsylvania Cvs Pharmacy LLC

Pharmacy · Monroeville, PA

NPI number1104929959
StatusActive
Last updated in NPPESAug 15, 2016

Details

NPI
1104929959
Entity type
Organization (NPI-2)
Legal business name
Pennsylvania Cvs Pharmacy LLC
Organization subpart
No
Enumeration date
Sep 7, 2006
Last updated
Aug 15, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X PharmacyPP410804LPAYes
332B00000X Durable Medical Equipment & Medical Supplies––
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Cvs Pharmacy #04045 (Doing Business As)

Practice location

1775 Golden Mile Hwy
Monroeville, PA 15146-1828

Phone 412-372-3151

Mailing address

1 Cvs Dr
Po Box 1075
Woonsocket, RI 02895-6146

Phone 401-765-1500

Authorized official

Susan F Colbert
Director
4017651500

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