Pennsylvania Cvs Pharmacy, L.l.c.

NPI #1912001744 in Shamokin, Pennsylvania

Provider Information

NPI Number
1912001744
Entity Type
Organization
Organization Name
Pennsylvania Cvs Pharmacy, L.l.c.
Primary Specialty
Pharmacy
Enumeration Date
Sep 12, 2006
Last Updated
Mar 9, 2012

Practice Location

Address
12 W INDEPENDENCE ST
ZIP Code
17872-5314
Phone
(570) 648-6441

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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