Wisconsin Cvs Pharmacy LLC
NPI #1003838608 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1003838608
- Entity Type
- Organization
- Organization Name
- Wisconsin Cvs Pharmacy LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jul 24, 2006
- Last Updated
- Dec 5, 2016
Practice Location
- Address
- 485 N ROLLING MEADOWS DR
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54937-9784
- Phone
- (920) 921-6759
Authorized Official
- Name
- SUSAN COLBERT
- Title
- SR. DIRECTOR, PAYER RELATIONS
- Phone
- (401) 770-2751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
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