Organization · Type 2 NPI

Wisconsin CVS Pharmacy LLC

Pharmacy · Kenosha, WI

NPI number 1124326764 Active

Practice location

3710 57th Ave
Kenosha, WI 53144

Call (262) 652-1474 Map

Mailing address

1 Cvs Dr, Box 1075 - Pharmacy Enrollments
Woonsocket, RI 02895-6146

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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About NPI 1124326764

Wisconsin CVS Pharmacy LLC's National Provider Identifier is 1124326764, issued on Mar 7, 2011. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Kenosha, WI. The record was last updated on Jul 15, 2011.