Organization · NPI-2

Garfield Beach Cvs LLC

Pharmacy · Moreno Valley, CA

NPI number1447295340
StatusActive
Last updated in NPPESSep 11, 2009

Details

NPI
1447295340
Entity type
Organization (NPI-2)
Legal business name
Garfield Beach Cvs LLC
Organization subpart
No
Enumeration date
Jun 17, 2006
Last updated
Sep 11, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy––Yes
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Cvs Pharmacy #09610 (Doing Business As)

Practice location

12280 Perris Blvd
Moreno Valley, CA 92557-7418

Phone 951-242-3596

Mailing address

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

Authorized official

Cristiana Mauricio
Manager Pharmacy Enrollments
4017702937

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