Provider Demographics
NPI:1194124875
Name:CVS CAREMARK
Entity type:Organization
Organization Name:CVS CAREMARK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAITLYN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:717-781-7223
Mailing Address - Street 1:50 PISTON CT
Mailing Address - Street 2:
Mailing Address - City:STEWARTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17363-8323
Mailing Address - Country:US
Mailing Address - Phone:717-781-7223
Mailing Address - Fax:
Practice Address - Street 1:7607 GREENBELT RD
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3404
Practice Address - Country:US
Practice Address - Phone:310-441-8811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22094183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty