Wisconsin Cvs Pharmacy LLC

NPI #1376565077 in Appleton, Wisconsin

Provider Information

NPI Number
1376565077
Entity Type
Organization
Organization Name
Wisconsin Cvs Pharmacy LLC
Primary Specialty
Pharmacy
Enumeration Date
Jul 24, 2006
Last Updated
Nov 28, 2016

Practice Location

Address
1800 S KENSINGTON DR
ZIP Code
54915-4136
Phone
(920) 749-9775

Authorized Official

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

Specialties & Taxonomy Codes

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

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