Organization
CVS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANTERRICA CHERELLE LUCKETT (PHARMACIST)
(912) 247-6784
Entity
Organization
Contact information
Practice address
10 POPE AVE, HILTON HEAD ISLAND, SC 29928-4719
(843) 785-7786
Mailing address
218 ALFRED ST, SAVANNAH, GA 31408-3206
(912) 247-6784
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
35733
SC
Other
Enumeration date
09/06/2014
Last updated
09/06/2014
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