Tennessee Cvs Pharmacy, L.L.C.
Pharmacy in Waverly, TN. Organization (NPI-2).
NPI number1114021920
StatusActive
Last updated in NPPESMar 1, 2012
Details
- NPI
- 1114021920
- Entity type
- Organization (NPI-2)
- Legal business name
- Tennessee Cvs Pharmacy, L.L.C.
- Organization subpart
- No
- Enumeration date
- Sep 12, 2006
- Last updated
- Mar 1, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 4164 | TN | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cvs Pharmacy #01741 (Doing Business As)
Practice location
406 W Main StWaverly, TN 37185-1126
Phone 931-296-5205
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan F Colbert
Director, Payer Relations
4017702751
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