Organization
NORTH CAROLINA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #05556
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
7025 WINSTON HILL DRIVE, CARY, NC 27513
(919) 481-3979
(919) 481-3980
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
—
0920491
—
NC
01
—
3418426
NCPDP
—
01
—
7705208
MEDICAID DME
NC
Enumeration date
02/05/2010
Last updated
07/17/2013
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