Wisconsin Cvs Pharmacy LLC
NPI #1952678591 in Cottage Grove, Wisconsin
Provider Information
- NPI Number
- 1952678591
- Entity Type
- Organization
- Organization Name
- Wisconsin Cvs Pharmacy LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Nov 28, 2011
- Last Updated
- Mar 7, 2014
Practice Location
- Address
- 605 W. COTTAGE GROVE RD.
- City
- Cottage Grove
- State
- Wisconsin
- ZIP Code
- 53527-9222
- Phone
- (608) 839-3704
Authorized Official
- Name
- SUSAN F. COLBERT
- Title
- DIRECTOR, PAYER RELATIONS
- Phone
- (401) 770-2751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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