Organization
NORTH CAROLINA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #08260
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
8220 MOUNT HOLLY HUNTERSVILLE RD, CHARLOTTE, NC 28216
(704) 399-5303
Mailing address
ONE CVS DRIVE, BOX 1075-PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895
(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
—
0602461
—
NC
01
—
3418147
NCPDP
—
01
—
7705132
MEDICAID DME
NC
Enumeration date
12/16/2009
Last updated
03/05/2012
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