Organization · Type 2 NPI

Wisconsin CVS Pharmacy LLC

Pharmacy · Janesville, WI

NPI number 1194158303 Active

Practice location

1700 Milton Ave.
Janesville, WI 53545-0833

Call (608) 756-0614 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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NPI record

NPI: 1194158303
Entity type: Organization (Type 2)
Issued: Aug 12, 2013
Last updated: Jan 19, 2023
Status: Active

Other names

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CVS Pharmacy #10143 · doing business as
CVS Pharmacy #10143 · doing business as

Authorized official

Susan Colbert
Director Payer Relations
(401) 770-2751

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194158303

Wisconsin CVS Pharmacy LLC's National Provider Identifier is 1194158303, issued on Aug 12, 2013. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Janesville, WI. The record was last updated on Jan 19, 2023.