Organization
NORTH CAROLINA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy # 08959
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1190 US HWY 1, YOUNGSVILLE, NC 27596-0000
(919) 554-1183
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0355313
—
NC
01
—
3413490
NCPDP
NC
05
—
7704997
—
NC
Enumeration date
01/14/2009
Last updated
08/21/2013
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