Pennsylvania Cvs Pharmacy, L.l.c.
NPI #1801009196 in Old Forge, Pennsylvania
Provider Information
- NPI Number
- 1801009196
- Entity Type
- Organization
- Organization Name
- Pennsylvania Cvs Pharmacy, L.l.c.
- Primary Specialty
- Pharmacy
- Enumeration Date
- May 7, 2007
- Last Updated
- Sep 11, 2014
Practice Location
- Address
- 101 S. MAIN ST
- City
- Old Forge
- State
- Pennsylvania
- ZIP Code
- 18518
- Phone
- (401) 765-1500
Authorized Official
- Name
- MR. THOMAS RYAN
- Title
- CHAIRMAN
- Phone
- (401) 765-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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