Pennsylvania Cvs Pharmacy, L.l.c.

NPI #1417058975 in Hazelton, Pennsylvania

Provider Information

NPI Number
1417058975
Entity Type
Organization
Organization Name
Pennsylvania Cvs Pharmacy, L.l.c.
Primary Specialty
Pharmacy
Enumeration Date
Sep 26, 2006
Last Updated
Sep 12, 2014

Practice Location

Address
64 SOUTH LOCUST ST
ZIP Code
18201-6100
Phone
(570) 454-5521

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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