Organization · Type 2 NPI

Wisconsin CVS Pharmacy LLC

Pharmacy · Menomonee Falls, WI

NPI number 1396014908 Active

Practice location

N83 W15550 Appleton Avenue
Menomonee Falls, WI 53051

Call (262) 253-5056 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: 1396014908
Entity type: Organization (Type 2)
Issued: Dec 28, 2011
Last updated: Mar 7, 2023
Status: Active

Other names

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CVS Pharmacy #04996 · doing business as
CVS Pharmacy #04996 · doing business as

Authorized official

Susan F 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 1396014908

Wisconsin CVS Pharmacy LLC's National Provider Identifier is 1396014908, issued on Dec 28, 2011. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Menomonee Falls, WI. The record was last updated on Mar 7, 2023.