Wisconsin Cvs Pharmacy, L.l.c.

NPI #1336463124 in Brookfield, Wisconsin

Provider Information

NPI Number
1336463124
Entity Type
Organization
Organization Name
Wisconsin Cvs Pharmacy, L.l.c.
Primary Specialty
Pharmacy
Enumeration Date
Mar 23, 2010
Last Updated
Mar 7, 2014

Practice Location

Address
17165 W BLUEMOUND RD
ZIP Code
53005-5917
Phone
(262) 797-9074

Authorized Official

Name
SUSAN 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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