| Organization Name: | CVS/CAREMARK/MINUTE CLINIC |
| NPI Number: | 1023302353 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NATACHA JULIEN (CREDENTIALING DIRECTOR) |
| Mailing Address: | 1700 S Federal Hwy Ft Lauderdale |
| State: | FL US |
| Postal Code: | 333162947 |
| Phone Number: | 9544628185 |
| Fax Number: | |
| NPI Enumeration Date: | 06/03/2011 |
| NPI Last Update Date: | 06/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP2875582 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |