Organization
NORTH CAROLINA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy # 06518
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
11430 N. TYRON ST, CHARLOTTE, NC 28262
(704) 717-3276
(401) 770-7108
Mailing address
1 CVS DR, BOX 1075-PHARMACY ENROLLMENTS, 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
—
0602110
—
NC
01
—
3407877
NCPDP
NC
05
—
7704690
—
NC
Enumeration date
03/23/2007
Last updated
07/16/2013
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