Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wisconsin Cvs Pharmacy LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1649947573

Wisconsin Cvs Pharmacy LLC is a Durable Medical Equipment & Medical Supplies in Glendale, Wisconsin. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5701 N Lydell Ave
Glendale, WI 53217-4537
Phone: (414) 290-1973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1649947573
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Sr Director · (401) 770-2751
Other names Cvs Pharmacy # 17823; Cvs Pharmacy # 17823
NPI enumeratedAugust 27, 2021
Last updated in NPPESOctober 7, 2021
Certification dateOctober 7, 2021
Mailing address1 Cvs Dr # 1075, Woonsocket, RI 02895-6146

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