Wisconsin Cvs Pharmacy LLC

NPI #1649947573 in Glendale, Wisconsin

Provider Information

NPI Number
1649947573
Entity Type
Organization
Organization Name
Wisconsin Cvs Pharmacy LLC
Primary Specialty
Pharmacy
Enumeration Date
Aug 27, 2021
Last Updated
Oct 7, 2021

Practice Location

Address
5701 N LYDELL AVE
ZIP Code
53217-4537
Phone
(414) 290-1973

Authorized Official

Name
SUSAN F COLBERT
Title
SR DIRECTOR
Phone
(401) 770-2751

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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