Organization
CVS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMOOR ASIF (PHARMACIST)
(336) 744-2321
Entity
Organization
Contact information
Practice address
5471 UNIVERSITY PKWY, WINSTON SALEM, NC 27105-1374
(336) 744-2321
Mailing address
5471 UNIVERSITY PKWY, WINSTON SALEM, NC 27105-1374
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
24286
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24286
NORTH CAROLINA BOARD OF PHARMACY
NC
Enumeration date
08/10/2015
Last updated
11/02/2015
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