Organization
CVS/PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL CANDORA (REGIONAL ADMINISTRATIVE CONTACT)
(919) 981-6253
Entity
Organization
Contact information
Practice address
904 S FIFTH ST, MEBANE, NC 27302-3239
(919) 563-8855
(919) 563-6156
Mailing address
904 S FIFTH ST, MEBANE, NC 27302-3239
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22735
NC
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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