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Organization

CVS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TERRA JONES (PHARMACY DISTRICT MANAGER)
(803) 331-5105
Entity
Organization

Contact information

Practice address
1071 S LAKE DR, LEXINGTON, SC 29073-3719
(803) 957-0605
Mailing address
1071 S LAKE DR, LEXINGTON, SC 29073-3719

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
36266
SC

Other

Enumeration date
08/14/2015
Last updated
08/14/2015
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