Organization · NPI-2
Pennsylvania Cvs Pharmacy, L.L.C.
Pharmacy · Willow Grove, PA
NPI number1801990684
StatusActive
Last updated in NPPESAug 6, 2010
Details
- NPI
- 1801990684
- Entity type
- Organization (NPI-2)
- Legal business name
- Pennsylvania Cvs Pharmacy, L.L.C.
- Organization subpart
- No
- Enumeration date
- Sep 12, 2006
- Last updated
- Aug 6, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | PP415583L | PA | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cvs Pharmacy #02530 (Doing Business As)
Practice location
2870 W Moreland RdWillow Grove, PA 19090-3051
Phone 215-657-1465
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan Colbert
Director, Payer Relations
4017702751
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