Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KACI LEE SHELTON (PHARMACIST)
(423) 817-5001
Entity
Organization
Contact information
Practice address
610 N MAIN ST, WALNUT COVE, NC 27052-9248
(336) 591-4351
Mailing address
610 N MAIN ST, WALNUT COVE, NC 27052-9248
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Enumeration date
12/13/2015
Last updated
12/13/2015
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