Whalio Doctors

NPI 1003910886

Pennsylvania Cvs Pharmacy, L.L.C.

Organisation Pharmacy Philadelphia, PA

Practice location

Address
3780 Main St, Philadelphia, PA 19127-2108
Phone
(215) 508-3607
Mailing address
1 Cvs Dr PO Box 1075, Woonsocket, RI 02895-6146

Authorised official

Name
Susan Colbert
Title
Dir Phcy Enrollments
Phone
(401) 770-2751

Registered specialties (3)

Pharmacy Primary
Suppliers Taxonomy 333600000X Licence PP415377L (PA)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1003910886
Entity type
Organization
NPI issued
12 Sep 2006
Record last updated
31 Jan 2021

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.