Wisconsin Cvs Pharmacy LLC

NPI #1306134655 in Green Bay, Wisconsin

Provider Information

NPI Number
1306134655
Entity Type
Organization
Organization Name
Wisconsin Cvs Pharmacy LLC
Primary Specialty
Pharmacy
Enumeration Date
Jul 20, 2011
Last Updated
Mar 21, 2012

Practice Location

Address
930 MAIN STREET
ZIP Code
54301-4806
Phone
(920) 436-9382

Authorized Official

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

Specialties & Taxonomy Codes

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

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