# CVS/PHARMACY

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

## Provider details

- **NPI number:** 1396149803
- **Authorized official:** DR. DAVID OUELLET PHARMD (PHARMACIST)
- **Authorized official phone:** (803) 479-8419

## Contact information

- **Practice address:** 1002 SAMS CROSSING RD, COLUMBIA, SC 29229-9591
- **Practice address phone:** (803) 788-0535
- **Mailing address:** 4001 CORONADO DR, COLUMBIA, SC 29203-5409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 35583 | SC | Yes |

## Other

- **Enumeration date:** 10/13/2014
- **Last updated:** 10/13/2014