Ohio Cvs Stores LLC

NPI #1376646083 in Mentor, Ohio

Provider Information

NPI Number: 1376646083
Entity Type: Organization
Organization Name: Ohio Cvs Stores LLC
Primary Specialty: Pharmacy
Enumeration Date: Sep 7, 2006
Last Updated: Mar 8, 2012

Practice Location

Address: 9040 MENTOR AVE
City: Mentor
State: Ohio
ZIP Code: 44060-6464
Phone: (440) 255-9159

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR
Phone: (401) 765-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy	333600000X	Primary

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