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WISCONSIN CVS PHARMACY LLC NPI 1902828601


NPI Information

NPI: 1902828601
Provider Name: WISCONSIN CVS PHARMACY LLC

Doing Business As: CVS PHARMACY #16900

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
3649 S HASTINGS WAY
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 838-0447
Get Directions

WISCONSIN CVS PHARMACY LLC is a pharmacy in Eau Claire, WI. The provider is 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 located. WISCONSIN CVS PHARMACY LLC NPI is 1902828601. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #16900.

The provider's business location address is:

3649 S HASTINGS WAY
EAU CLAIRE, WI
ZIP 54701-182
Phone: (715) 838-0447
Fax: (715) 838-0447

The provider's authorized official is Susan Colbert .
The authorized official title is Sr. Director, Payer Relations and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 11/28/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail Pharmacy7992042WISCONSINNo
3333600000XPharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12109765OTHERPK
20640710474MEDICARE NSC
35742910056MEDICARE NSC
433249600MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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