Organization
CVS CAREMARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN EDGE (PHARMACY SUPERVISOR)
(910) 424-0317
Entity
Organization
Contact information
Practice address
404 RAMSEY ST, FAYETTEVILLE, NC 28301-4910
(910) 484-1106
Mailing address
404 RAMSEY ST, FAYETTEVILLE, NC 28301-4910
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
24653
NC
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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