Ohio Cvs Stores LLC

NPI #1477844926 in Massillon, Ohio

Provider Information

NPI Number: 1477844926
Entity Type: Organization
Organization Name: Ohio Cvs Stores LLC
Primary Specialty: Pharmacy
Enumeration Date: May 2, 2011
Last Updated: Aug 12, 2011

Practice Location

Address: 1130 LINCOLN WAY EAST
City: Massillon
State: Ohio
ZIP Code: 44646
Phone: (330) 830-6459

Authorized Official

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

Specialties & Taxonomy Codes

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

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