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Organization

NORTH CAROLINA CVS PHARMACY LLC

Active
Other names
CVS PHARMACY #08928
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization

Contact information

Practice address
1132 EAST CUTLAR CROSSING, LELAND, NC 28451-6426
(910) 371-1464
Mailing address
1 CVS DR, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500

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
0105604
NC
01
3459547
NCPDP
NC
01
7705397
DME
NC
Enumeration date
12/09/2011
Last updated
01/19/2023
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