Wisconsin Cvs Pharmacy LLC

NPI #1104848704 in Oak Creek, Wisconsin

Provider Information

NPI Number
1104848704
Entity Type
Organization
Organization Name
Wisconsin Cvs Pharmacy LLC
Primary Specialty
Pharmacy
Enumeration Date
Jul 24, 2006
Last Updated
Dec 13, 2016

Practice Location

Address
8989 S HOWELL AVE
ZIP Code
53154-3803
Phone
(414) 216-0002

Authorized Official

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

Specialties & Taxonomy Codes

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

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