# CVS/PHARMACY

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

## Provider details

- **NPI number:** 1538562053
- **Authorized official:** WHITNEY HOOPER (PHARMACIST)
- **Authorized official phone:** (803) 957-0605

## Contact information

- **Practice address:** 1071 S LAKE DR, LEXINGTON, SC 29073-3719
- **Practice address phone:** (803) 957-0605
- **Mailing address:** 118 BELTREES DR, LEXINGTON, SC 29072-2070
- **Mailing address phone:** (864) 934-1569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 12606 | SC | Yes |

## Other

- **Enumeration date:** 09/29/2014
- **Last updated:** 09/29/2014