Washington Cvs Pharmacy LLC
Pharmacy in Gig Harbor, WA. Organization (NPI-2).
NPI number1962425264
StatusActive
Last updated in NPPESDec 5, 2016
Details
- NPI
- 1962425264
- Entity type
- Organization (NPI-2)
- Legal business name
- Washington Cvs Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Jul 26, 2006
- Last updated
- Dec 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHAR.CF.60617697 | WA |
Other names
- Cvs Pharmacy #16560 (Doing Business As)
Practice location
11400 51st Ave NwGig Harbor, WA 98332-7891
Phone 253-858-7799 · Fax 253-858-7799
Mailing address
1 Cvs DrBox 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan Colbert
Sr. Director, Payer Relations
4017702751
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