Wisconsin Cvs Pharmacy LLC

NPI #1376899120 in Appleton, Wisconsin

Provider Information

NPI Number
1376899120
Entity Type
Organization
Organization Name
Wisconsin Cvs Pharmacy LLC
Primary Specialty
Pharmacy
Enumeration Date
Jul 31, 2012
Last Updated
Dec 5, 2016

Practice Location

Address
4301 W WISCONSIN AVE STE 42
ZIP Code
54913-6524
Phone
(920) 243-7877

Authorized Official

Name
SUSAN COLBERT
Title
SR. 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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