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Ohio Cvs Stores LLC

Pharmacy in Mentor, OH. Organization (NPI-2).

NPI number1376646083
StatusActive
Last updated in NPPESMar 8, 2012

Details

NPI
1376646083
Entity type
Organization (NPI-2)
Legal business name
Ohio Cvs Stores LLC
Organization subpart
No
Enumeration date
Sep 7, 2006
Last updated
Mar 8, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy21-40500OHYes
3336C0003X Pharmacy, Community/Retail Pharmacy––
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Cvs Pharmacy 03326 (Doing Business As)

Practice location

9040 Mentor Ave
Mentor, OH 44060-6464

Phone 440-255-9159

Mailing address

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

Authorized official

Susan Colbert
Director
4017651500

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