NPI 1790707396 · live from the CMS NPI Registry
Delaware Cvs Pharmacy LLC
Pharmacy in Wilmington, DE. National Provider Identifier 1790707396, active.
NPI record
| NPI | 1790707396 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 1050 Brandywine Pkwy, Wilmington, DE 19803 |
| Practice phone | 302-478-3200 |
| Mailing address | 1 Cvs Dr, Box 1075, Woonsocket, RI 02895 |
| Enumerated | July 24, 2006 |
| Last updated | September 29, 2016 |
| Authorized official | Susan Colbert, Sr. Director, Payer Relations |
| Other names | Cvs Pharmacy #16509 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | A3-0000996 (DE) |
| Pharmacy primary | 333600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.