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Contact Information

RHODE ISLAND CVS PHARMACY, L.L.C.
1187 MAIN ST
WYOMING, RI02898
 Phone: 401-539-4000
 Fax: 401-539-2750
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for RHODE ISLAND CVS PHARMACY, L.L.C.

NPI # 1376640870
LBN Legal business name RHODE ISLAND CVS PHARMACY, L.L.C.
Authorized official CRISTIANA MAURICIO - (MGR PHCY ENROLLMENTS)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 06/16/2014 - About 12 years ago
Identifiers
RI License # PHA00355
RI Medicaid RR53968
Other 4106375 OTHER ID NUMBER-COMMERCIAL NUMBER
RI Other 9380001 DME
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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