# CVS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093180242
- **Authorized official:** KACI LEE SHELTON (PHARMACIST)
- **Authorized official phone:** (423) 817-5001

## Contact information

- **Practice address:** 610 N MAIN ST, WALNUT COVE, NC 27052-9248
- **Practice address phone:** (336) 591-4351
- **Mailing address:** 610 N MAIN ST, WALNUT COVE, NC 27052-9248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2015
- **Last updated:** 12/13/2015