Provider Demographics
NPI:1720487937
Name:CVS PHARMACY INC.
Entity Type:Organization
Organization Name:CVS PHARMACY INC.
Other - Org Name:CVS RX SERVICES,INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:BOSCO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:301-762-3173
Mailing Address - Street 1:360 HUNGERFORD DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-4167
Mailing Address - Country:US
Mailing Address - Phone:301-279-9144
Mailing Address - Fax:301-610-6613
Practice Address - Street 1:360 HUNGERFORD DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-4167
Practice Address - Country:US
Practice Address - Phone:301-279-9144
Practice Address - Fax:301-610-6613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD077733336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy