Wisconsin Cvs Pharmacy LLC
NPI #1295757896 in West Milwaukee, Wisconsin
Provider Information
- NPI Number
- 1295757896
- 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
- 1501 MILLER PARK WAY
- City
- West Milwaukee
- State
- Wisconsin
- ZIP Code
- 53214-3654
- Phone
- (414) 203-0107
Authorized Official
- Name
- SUSAN COLBERT
- Title
- SR. DIRECTOR, PAYER RELATIONS
- 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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