# CVS CAREMARK

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

## Provider details

- **NPI number:** 1750835195
- **Authorized official:** CRYSTAL DONJON (SUPERVISOR)
- **Authorized official phone:** (843) 626-3951

## Contact information

- **Practice address:** 4401 HIGHWAY 17 S, NORTH MYRTLE BEACH, SC 29582-5254
- **Practice address phone:** (843) 272-8884
- **Mailing address:** 4401 HIGHWAY 17 S, NORTH MYRTLE BEACH, SC 29582-5254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 36537 | SC | Yes |

## Other

- **Enumeration date:** 08/13/2016
- **Last updated:** 08/13/2016
