Garfield Beach Cvs LLC
Pharmacy in Lynwood, CA. Organization (NPI-2).
NPI number1699710491
StatusActive
Last updated in NPPESAug 23, 2011
Details
- NPI
- 1699710491
- Entity type
- Organization (NPI-2)
- Legal business name
- Garfield Beach Cvs LLC
- Organization subpart
- No
- Enumeration date
- Jun 17, 2006
- Last updated
- Aug 23, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Cvs Pharmacy 09123 (Doing Business As)
Practice location
3800 Martin Luther King Jr BlvdLynwood, CA 90262-3602
Phone 310-637-2509
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Authorized official
Cristiana Mauricio
Manager Pharmacy Enrollments
4017702937
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