Wisconsin Cvs Pharmacy, L.l.c.

NPI #1942686068 in Barron, Wisconsin

Provider Information

NPI Number: 1942686068
Entity Type: Organization
Organization Name: Wisconsin Cvs Pharmacy, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Jul 31, 2015
Last Updated: Oct 20, 2015

Practice Location

Address: 535 E. DIVISION AVE.
City: Barron
State: Wisconsin
ZIP Code: 54812
Phone: (715) 637-0991

Authorized Official

Name: SUSAN COLBERT
Title: SR.DIRECTOR-PAYER RELATIONS
Phone: (401) 765-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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