Pennsylvania Cvs Pharmacy, L.l.c.
NPI #1104920958 in Boothwyn, Pennsylvania
Provider Information
- NPI Number
- 1104920958
- Entity Type
- Organization
- Organization Name
- Pennsylvania Cvs Pharmacy, L.l.c.
- Primary Specialty
- Pharmacy
- Enumeration Date
- Sep 12, 2006
- Last Updated
- Mar 1, 2012
Practice Location
- Address
- 3601 CHICHESTER AVE STE 105
- City
- Boothwyn
- State
- Pennsylvania
- ZIP Code
- 19061-3149
- Phone
- (610) 497-2194
Authorized Official
- Name
- SUSAN COLBERT
- Title
- DIR PHCY ENROLLMENTS
- 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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