Cvs
Pharmacy, Community/Retail Pharmacy in Laurel, MD. Organization (NPI-2).
NPI number1619428240
StatusActive
Last updated in NPPESOct 19, 2016
Details
- NPI
- 1619428240
- Entity type
- Organization (NPI-2)
- Legal business name
- Cvs
- Organization subpart
- No
- Enumeration date
- Oct 19, 2016
- Last updated
- Oct 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 23901 | MD | Yes |
Practice location
15100 Baltimore AveLaurel, MD 20707-4602
Phone 301-776-5404
Mailing address
1633 Q St Nw Apt 504Washington, DC 20009-6351
Phone 937-790-0098
Authorized official
Dana Marie D'Urso
Pharmd
9377900098
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