Whalio Doctors

NPI 1255589602

Wisconsin Cvs Pharmacy LLC

Organisation Pharmacy Pleasant Prairie, WI

Practice location

Address
9777 76th St, Pleasant Prairie, WI 53158-1990
Phone
(262) 842-1171
Fax
(262) 842-1181
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 8879042 (WI)

Registry record

NPI
1255589602
Entity type
Organization
NPI issued
28 Aug 2008
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.