# NORTH CAROLINA CVS PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS Pharmacy \# 02532
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477716777
- **Authorized official:** MS. SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
- **Authorized official phone:** (401) 770-2751

## Contact information

- **Practice address:** 1149 UNIVERSITY DRIVE, BURLINGTON, NC 27215
- **Practice address phone:** (336) 584-6041
- **Mailing address:** 1 CVS DR, BOX 1075-PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
- **Mailing address phone:** (401) 765-1500
- **Mailing address fax:** (401) 770-7108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/07/2008
- **Last updated:** 05/22/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0015050 RX | — | NC |
| 01 | — | 3411434 | NCPDP | NC |
| 05 | — | 7704958 DME | — | NC |