Wisconsin Cvs Pharmacy LLC

NPI #1619918588 in Appleton, Wisconsin

Provider Information

NPI Number
1619918588
Entity Type
Organization
Organization Name
Wisconsin Cvs Pharmacy LLC
Primary Specialty
Pharmacy
Enumeration Date
Jun 9, 2006
Last Updated
Aug 13, 2010

Practice Location

Address
700 W WISCONSIN AVE
ZIP Code
54914-3567
Phone
(920) 991-1190

Authorized Official

Name
SUSAN F COLBERT
Title
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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