Wisconsin Cvs Pharmacy Llc in Kenosha - Pharmacy
Wisconsin Cvs Pharmacy Llc - NPI 1174564041
Wisconsin Cvs Pharmacy Llc is a Pharmacy in Kenosha, Wisconsin. Wisconsin Cvs Pharmacy Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Wisconsin Cvs Pharmacy Llc is 1174564041. The last update date is 2008-02-27.
Wisconsin Cvs Pharmacy Llc's current location address is 3726 22nd Ave, Kenosha, Wisconsin. You can contact this provider via phone number 2626546545. The mailing address for Wisconsin Cvs Pharmacy Llc is 3726 22nd Ave, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wisconsin Cvs Pharmacy Llc |
|---|---|
| Address | 3726 22nd Ave, Kenosha, Wisconsin |
| Phone Number | 2626546545 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER PH |
|---|---|
| Authorized Official Name | Mauricio Cristiana |
| Telephone Number | 4017702937 |
NPI Number Detail
| NPI Number | 1174564041 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2008-02-27 |
Provider Mailing Address Detail
| Address | 3726 22nd Ave |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531405300 |
| Phone Number | 2626546545 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
|
Definition: 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 presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5129033 | OTHER ID NUMBER-COMMERCIAL NUM |
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What is the unique identification code assigned to Wisconsin Cvs Pharmacy Llc by the Centers for Medicare & Medicaid Services?
The Wisconsin Cvs Pharmacy Llc has been issued the NPI (National Provider Identifier) 1174564041. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Wisconsin Cvs Pharmacy Llc located?
The Wisconsin Cvs Pharmacy Llc is located at 3726 22Nd Ave, Kenosha, WI 531405300.
What is Wisconsin Cvs Pharmacy Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wisconsin Cvs Pharmacy Llc is Pharmacy, and the taxonomy code that categorizes this field of expertise is 333600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174564041 to Wisconsin Cvs Pharmacy Llc?
The Centers for Medicare & Medicaid Services assigned the 1174564041 to Wisconsin Cvs Pharmacy Llc on 2006-06-09.
As of what date were the details related to Wisconsin Cvs Pharmacy Llc most recently updated or revised?
The information pertaining to Wisconsin Cvs Pharmacy Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-27.
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