Pennsylvania Cvs Pharmacy, L.l.c.
NPI #1902900731 in Nanticoke, Pennsylvania
Provider Information
- NPI Number
- 1902900731
- Entity Type
- Organization
- Organization Name
- Pennsylvania Cvs Pharmacy, L.l.c.
- Primary Specialty
- Pharmacy
- Enumeration Date
- Sep 12, 2006
- Last Updated
- Aug 5, 2010
Practice Location
- Address
- 555 E MAIN ST
- City
- Nanticoke
- State
- Pennsylvania
- ZIP Code
- 18634-1800
- Phone
- (570) 735-2320
Authorized Official
- Name
- SUSAN F COLBERT
- Title
- DIRECTOR, PAYER RELATIONS
- Phone
- (401) 765-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
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