Organization
NORTH CAROLINA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy # 08417
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
3581 DAVIS DR, CARY, NC 27519-8807
(919) 460-8577
(401) 770-7108
Mailing address
1 CVS DR, BOX 1075-PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920054
—
NC
01
—
3407699
NCPDP
NC
05
—
7704689
—
NC
Enumeration date
04/12/2007
Last updated
10/21/2010
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