Provider Demographics
NPI:1508189119
Name:CVS ALBANY, L.L.C
Entity Type:Organization
Organization Name:CVS ALBANY, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:ZANDRA
Authorized Official - Middle Name:E
Authorized Official - Last Name:UGO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-655-2088
Mailing Address - Street 1:132 BRONX RIVER RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-4442
Mailing Address - Country:US
Mailing Address - Phone:914-237-7681
Mailing Address - Fax:
Practice Address - Street 1:132 BRONX RIVER RD
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-4442
Practice Address - Country:US
Practice Address - Phone:914-237-7681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047050183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty