Wisconsin Cvs Pharmacy LLC

NPI #1013149749 in Wauwatosa, Wisconsin

Provider Information

NPI Number
1013149749
Entity Type
Organization
Organization Name
Wisconsin Cvs Pharmacy LLC
Primary Specialty
Pharmacy
Enumeration Date
Aug 13, 2009
Last Updated
Dec 13, 2016

Practice Location

Address
3900 N 124TH ST
ZIP Code
53222-2105
Phone
(414) 847-1101

Authorized Official

Name
SUSAN COLBERT
Title
SR. DIRECTOR, PAYER RELATIONS
Phone
(401) 770-2751

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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