Organization
NORTH CAROLINA CVS PHARMACY L.L.C.
Active
Other names
CVS Pharmacy # 01632
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MANAGER PHARMACY ENROLLMENTS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
9628 REA ROAD, CHARLOTTE, NC 28277
(704) 542-5072
Mailing address
ONE CVS DRIVE, BOX 1075-PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
09427
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3407271
COMMERCIAL NUMBER
—
01
—
P00754581
MEDICARE RR
—
Enumeration date
11/09/2006
Last updated
05/17/2013
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