Organization
CVS/PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN TIMOTHY ROTEN PHARMD (STAFF PHARMACIST)
(910) 256-3761
Entity
Organization
Contact information
Practice address
1712 EASTWOOD RD, WILMINGTON, NC 28403-3641
(910) 256-3761
(910) 256-9345
Mailing address
124 MENDENHALL DR, WILMINGTON, NC 28411-9108
(704) 219-5135
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
23432
NC
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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