Organization
NORTH CAROLINA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY #01742
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2901 WESLEY CHAPEL STOUTS RD, MONROE, NC 28110-7940
(704) 283-9163
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
09271
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3405847
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/20/2006
Last updated
05/23/2013
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