Pennsylvania Cvs Pharmacy, L.L.C.
Pharmacy in Natrona Heights, PA. Organization (NPI-2).
NPI number1396848149
StatusActive
Last updated in NPPESOct 27, 2017
Details
- NPI
- 1396848149
- Entity type
- Organization (NPI-2)
- Legal business name
- Pennsylvania Cvs Pharmacy, L.L.C.
- Organization subpart
- No
- Enumeration date
- Sep 7, 2006
- Last updated
- Oct 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | PP412483L | PA | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cvs Pharmacy #05103 (Doing Business As)
Practice location
1003 California AveNatrona Heights, PA 15065-2104
Phone 412-224-7772
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Authorized official
Susan Colbert
Director, Managed Care Admin
4017651500
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