Whalio Doctors

NPI 1013149749

Wisconsin Cvs Pharmacy LLC

Organisation Pharmacy Wauwatosa, WI

Practice location

Address
3900 N 124th St, Wauwatosa, WI 53222-2105
Phone
(414) 847-1101
Fax
(414) 847-1111
Mailing address
1 Cvs Dr Mail Code 1090, 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 8950-042 (WI)

Registry record

NPI
1013149749
Entity type
Organization
NPI issued
13 Aug 2009
Record last updated
13 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.