Whalio Doctors

NPI 1003838608

Wisconsin Cvs Pharmacy LLC

Organisation Pharmacy Fond Du Lac, WI

Practice location

Address
485 N Rolling Meadows Dr, Fond Du Lac, WI 54937-9784
Phone
(920) 921-6759
Fax
(920) 266-4298
Mailing address
1 Cvs Dr Box 1075, Woonsocket, RI 02895-6146

Authorised official

Name
Susan Colbert
Title
Sr. Director, Payer Relations
Phone
(401) 770-2751

Registered specialties (3)

Pharmacy Primary
Suppliers Taxonomy 333600000X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X Licence 8558042 (WI)

Registry record

NPI
1003838608
Entity type
Organization
NPI issued
24 Jul 2006
Record last updated
5 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.