Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY ANTONINI (PHARMACIST)
(410) 279-7624
Entity
Organization
Contact information
Practice address
2501 W ROOSEVELT BLVD, MONROE, NC 28110-0418
(704) 283-1506
Mailing address
2501 W ROOSEVELT BLVD, MONROE, NC 28110-0418
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
23667
NC
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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