Woodward Detroit Cvs, L.L.C.
Pharmacy in Brooklyn, MI. Organization (NPI-2).
NPI number1619089547
StatusActive
Last updated in NPPESJan 18, 2023
Details
- NPI
- 1619089547
- Entity type
- Organization (NPI-2)
- Legal business name
- Woodward Detroit Cvs, L.L.C.
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Certification date
- Jan 18, 2023
- Last updated
- Jan 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 5301-005060 | MI | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Cvs Pharmacy #08041 (Doing Business As)
Practice location
414 S Main StBrooklyn, MI 49230-9368
Phone 517-592-2115 · Fax 517-592-6190
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Authorized official
Susan Colbert
Director
4017651500
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