Organization
SOUTH CAROLINA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY #05552
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
6160 WADE HAMPTON BLVD, TAYLORS, SC 29687-5350
(864) 879-7146
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
50004186
SC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4212039
OTHER ID NUMBER COMMERCIAL NUMBER
—
05
—
741868
—
SC
Enumeration date
09/07/2006
Last updated
01/17/2023
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