Wisconsin Cvs Pharmacy, L.l.c.

NPI #1265813364 in Sheboygan, Wisconsin

Provider Information

NPI Number
1265813364
Entity Type
Organization
Organization Name
Wisconsin Cvs Pharmacy, L.l.c.
Primary Specialty
Pharmacy
Enumeration Date
Jun 15, 2015
Last Updated
Nov 4, 2015

Practice Location

Address
1108 N 14TH ST
ZIP Code
53081-3213
Phone
(920) 452-0079

Authorized Official

Name
SUSAN COLBERT
Title
SR. DIRECTOR-PAYER RELATIONS
Phone
(401) 765-1500

Specialties & Taxonomy Codes

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

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