Woodward Detroit Cvs, L.L.C.
Pharmacy in Bruce, MI. Organization (NPI-2).
NPI number1619089570
StatusActive
Last updated in NPPESFeb 22, 2011
Details
- NPI
- 1619089570
- Entity type
- Organization (NPI-2)
- Legal business name
- Woodward Detroit Cvs, L.L.C.
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Feb 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 5301-006372 | MI | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cvs Pharmacy #08179 (Doing Business As)
Practice location
71220 Van Dyke RdBruce, MI 48065-5437
Phone 810-336-1905 · Fax 810-336-1905
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Authorized official
Susan Colbert
Director
4017651500
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