Tennessee Cvs Pharmacy, L.l.c.

NPI #1114021920 in Waverly, Tennessee

Provider Information

NPI Number: 1114021920
Entity Type: Organization
Organization Name: Tennessee Cvs Pharmacy, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Sep 12, 2006
Last Updated: Mar 1, 2012

Practice Location

Address: 406 W MAIN ST
City: Waverly
State: Tennessee
ZIP Code: 37185-1126
Phone: (931) 296-5205

Authorized Official

Name: SUSAN F COLBERT
Title: DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy	333600000X	Primary

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