Organization · Type 2 NPI

Wisconsin CVS Pharmacy LLC

Pharmacy · Green Bay, WI

NPI number 1306134655 Active

Practice location

930 Main Street
Green Bay, WI 54301-4806

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy Primary 333600000XNone listed
Community/Retail Pharmacy 3336C0003XNone 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 1306134655

Wisconsin CVS Pharmacy LLC's National Provider Identifier is 1306134655, issued on Jul 20, 2011. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Green Bay, WI. The record was last updated on Mar 21, 2012.