Wisconsin Cvs Pharmacy, L.l.c.

NPI #1780090415 in Menomonie, Wisconsin

Provider Information

NPI Number
1780090415
Entity Type
Organization
Organization Name
Wisconsin Cvs Pharmacy, L.l.c.
Primary Specialty
Pharmacy
Enumeration Date
Jul 2, 2014
Last Updated
Nov 19, 2014

Practice Location

Address
433 BROADWAY ST S
ZIP Code
54751-1822
Phone
(715) 235-5349

Authorized Official

Name
SUSAN COLBERT
Title
DIRECTOR, PAYER RELATIONS
Phone
(401) 765-1500

Specialties & Taxonomy Codes

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

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