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Organization
NORTH CAROLINA CVS PHARMACY LLC
Active
Organization
NORTH CAROLINA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY 02559
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
10515 MALLARD CREEK RD, CHARLOTTE, NC 28262-9785
(704) 547-9739
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
7479
NC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0602318 RX
—
NC
01
—
3437161
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/12/2006
Last updated
05/22/2013
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